Transcript

Boston Combined
Residency Program
The Pediatric Residency Training Program
of
Boston Children’s Hospital
Harvard Medical School
and
Boston Medical Center
Boston University School of Medicine
Nov 2013 edition
INTERN CLASS OF 2014-2015
BOSTON COMBINED RESIDENCY
Boston Medical Center
Boston Children’s Hospital
CONTENTS
History…………...........................
BCRP…........................................
Boston Children’s Hospital...........
Boston Medical Center.................
People……...................................
Program director biosketches......
Residency program leadership.....
Interns and residents....................
Interns.........................................
Junior residents..........................
Senior residents..........................
Chief residents............................
Faculty leaders..............................
Facilities.......................................
Boston Children’s Hospital...........
Harvard Medical School...............
Boston Medical Center.................
Boston Univ Medical School........
Program.......................................
Tracks...........................................
Program organization...................
BCRP administration...................
2013-2014 BCRP program..........
Other recent changes...................
Residency-wide events................
Flexibility.......................................
Rotations......................................
Rotation schedules.....................
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Rotation descriptions..................
Night call...................................
Longitudinal ambulatory..............
Electives......................................
Individualized curriculum............
Academic development bock..
Education....................................
Conferences..............................
Resident as teacher..................
Simulators.................................
Libraries....................................
Medical Information systems......
Research.....................................
Resident research.....................
Research tracks........................
The Personal Touch....................
Intern orientation.......................
Orientation picture gallery.........
Advisors and mentorship..........
Housestaff lounge.....................
Retreats.....................................
Retreat picture gallery................
Family friendliness.....................
Advocacy.....................................
International opportunities...........
Global health curriculum............
Global health electives..............
Global health fellowships............
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Global health funding................. 70
Global health picture gallery....... 71
Minority physician training........... 72
Minority faculty........................... 72
Salaries and benefits.................... 74
Child care................................... 75
Office of Fellowship Training...... 75
Cost of living............................... 75
After Hours.................................. 77
With colleagues............................ 77
Having fun picture gallery........... 78
Boston.......................................... 81
Within Massachusetts.................. 85
New England................................ 87
Outdoor activities......................... 88
Fellowships................................. 91
Results........................................ 92
What residents do next............... 92
Select societies and awards........ 93
Examples of resident careers....... 94
Application.................................. 99
PL-1 applicants............................ 99
International applicants................ 101
Interviews..................................... 102
PL-2 and PL-3 applicants........... 103
How to get here, where to stay..... 104
Contacts........................................ 104
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BOSTON COMBINED RESIDENCY
History
Boston Combined Residency
Program
Street in Boston’s South End. The hospital treated just 30
patients that first year. One year later the Children's
Hospital relocated to a larger building on the same street.
The patients were predominately Irish immigrants and
many had traumatic injuries or infectious diseases.
Philanthropy completely supported the new hospital.
Sister Theresa and the Anglican Order of the Sisters of St.
Margaret oversaw the nursing care of the children for the
first 45 years of the hospital’s existence.
1882-1913
David Nathan
Barry Zuckerman
In the early 1990’s, David Nathan and Barry Zuckerman,
the Chiefs of Services at Boston Children’s Hospital and
Boston Medical Center, respectively, decided to combine
two major medical schools (Harvard Medical School and
Boston University School of Medicine) and two major
hospitals (Boston Children’s Hospital and Boston Medical
Center) to form the Boston Combined Residency Program
in Pediatrics (BCRP), the first combined residency
program in pediatrics in the US. The educational, clinical
and research accomplishments of each institution formed
the foundation for this collaborative venture. While
hospital mergers to achieve fiscal viability were common
events in the early 1990s, the BCRP merger had, at its
core, a singular emphasis of pediatric education and was
built upon the rich tradition of the previously separate
training programs at Boston Children’s Hospital and
Boston Medical Center. It was their belief that true
educational excellence could be achieved by combining
the culture of a public city hospital with that of a private
subspecialty hospital. The BCRP, now in its 16th year,
continues to flourish and adapt to the changing elements
of pediatric training. The program supports the diverse
interests of our house staff by providing them with clinical
experiences at both the institutions coupled with exposure
to our dedicated pediatric faculty.
By 1882 having outgrown its current structure, the
hospital was moved to Huntington Avenue near the
current Symphony Hall. This larger building was designed
especially for children’s needs. As the range of illnesses
grew, so did the professional staff. Between the years
1882 and 1914 the practice of pediatrics was recognized
as a specialty and Harvard Medical School made its first
appointment of a physician devoted solely to the care of
children. The first medical house officers (interns and
externs) were appointed and a nursing school was
opened to educate nurses.
1914-1945
In the early 1900s Harvard Medical School moved to the
former Ebenezer Francis Farm, its current site, and in
Boston Children’s Hospital
1869-1881
Soon after the Civil War, in 1869, Dr. Francis Henry Brown
organized a small group of Harvard Medical School
graduates joined by Boston’s civic leaders to establish a
20 bed Children's Hospital in a townhouse on Rutland
!
Children's Hospital neighbors were far
different in 1914 than today.
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BOSTON COMBINED RESIDENCY
1914 the Children's Hospital relocated to its current
address on Longwood Avenue immediately next to the
Medical School. During this era the Hunnewell building
housed the children until a series of “cottages” were built
to minimize the spread of infection. These “cottages”
housed medical, surgical and orthopedic patients.
Departments now differentiated into Surgery, Medicine,
Radiology, Orthopaedics, and Pathology to mention only a
few. Cystic fibrosis, erythroblastosis fetalis and other
diseases were described and studied. Pediatric medicine
subspecialized into metabolism, hematology and
bacteriology. Surgeons developed new techniques for
repairing congenital abnormalities. The field of cardiac
surgery was begun and the iron lung for polio victims was
developed by physicians at Children's Hospital and the
Harvard School of Public Health. Harvard medical
students began to learn pediatrics at the Children's
Hospital. The housestaff grew from 3-4 in 1900 to over 30
in the early 40s. Women became residents when men left
to serve in World War II. The Medical & Nursing Alumni
Associations were established. During this period,
Children's Hospital forged strong bonds with other
institutions including the House of the Good Samaritan
(for rheumatic fever patients), the Sarah Fuller School (for
deaf children), the Judge Baker Children's Center (for
psychiatric illness) and the Sharon Sanatorium.
Remarkably, in 1939 the average cost of a hospital visit
was just $1.50.
service. The NIH
established programs to
support academic research.
The Children's Hospital
organized itself into the
Children's Hospital Medical
Center. The hospital
endorsed specialized
pediatric care, and began
the construction of new
buildings: the Farley
inpatient building (in 1956),
the Fegan outpatient
John Enders in his lab at
building (in 1967), the
Children's in 1965.
Martha Eliot Health Center
(in 1967), and the Enders
research building (1970) named for Dr. John Enders,
recipient of the Nobel Prize for his work with polio virus. In
1987 a new inpatient facility was built bringing the number
of inpatient beds to 330. Old diseases such as polio,
measles, and pertussis decreased in prevalence because
of vaccines, and bacterial infections (meningitis,
pneumonias, epiglottitis) decreased in frequency because
of new antibiotics, only to be replaced by new diseases
like HIV, Kawasaki’s, substance abuse, and mental and
communication disorders. The faculty in all departments
grew rapidly. The medical housestaff by 1990 numbered
over 86 residents. All subspecialties had developed
outstanding fellowships. The hospital was now a primary
education site for Harvard medical students and elective
students from throughout the US, and Children's Hospital
enjoyed both a national and international reputation.
1990-Present
Before the mid-1950s, Children's wards were separated into
cottages to limit the spread of infection. The white marble
buildings of Harvard Medical School are in the background.
1946-1990
During the years 1946 to 1990 the Children's Hospital was
well positioned to take a leadership role in pediatric
health. Experienced physicians returned from the military
!
The last 21 years have seen increasing excellence in
patient care, great research productivity, new medical
innovations, and remarkable contributions to pediatric
medical education. Children's Hospital clinicians have
pioneered lung, liver, and multiple organ transplants,
surgery using robotics and lasers, the development of
tissue engineered organs, the use of small devices to
repair holes in the heart, and fetal intervention for
hypoplastic left heart syndrome. Children's researchers
have developed treatments for blood disorders,
regenerated damaged nerves, identified genes associated
with specific diseases, developed new vaccines for
serious illnesses, created disease-specific human stem
cells, invented genomic tools to classify tumors and
identify new drug therapies, and developed whole new
fields, such as angiogenesis.
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Children's Hospital Milestones
1869 Boston Children’s Hospital opens as a 20-bed facility at
1996 Dr. Michael Greenberg discovers that mice lacking the
1891
1998 Dr. Anthony Atala successfully transplants laboratory-
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9 Rutland Street in Boston's South End.
Children's establishes the nation's first laboratory for the
modification and production of bacteria-free milk.
Dr. William Ladd devises procedures for correcting
various congenital defects such as intestinal
malformations, launching the specialty of pediatric
surgery.
Dr. James Gamble analyzes the composition of body
fluids and develops a method for intravenous feeding
that saves the lives of thousands of infants at risk of
dehydration from diarrhea.
Dr. Louis Diamond characterizes Rh disease, in which a
fetus's blood is incompatible with its mother's. Diamond
later develops exchange transfusion to treat the disease.
Dr. Robert Gross performs the world's first successful
surgical procedure to correct a congenital cardiovascular
defect, ushering in the era of modern pediatric cardiac
surgery.
Dr. Sidney Farber achieves the world's first successful
remission of acute leukemia. He goes on to found the
Dana-Farber Cancer Institute.
Dr. John Enders and his colleagues win the Nobel Prize
for successfully culturing the polio virus in 1949, making
possible the development of the Salk and Sabin
vaccines. Enders and his team went on to culture the
measles virus.
Dr. Judah Folkman publishes "Tumor angiogenesis:
therapeutic implications" in the New England Journal of
Medicine. It is the first paper to describe Folkman's
theory that tumors recruit new blood vessels to grow.
Dr. Stuart Orkin develops restriction endonuclease
mapping to diagnose thalassemia in utero.
Children's physicians report the first surgical correction
of hypoplastic left heart syndrome, a defect in which an
infant is born without a left ventricle. The procedure is
the first to correct what previously had been a fatal
condition.
The Howard Hughes Medical Institute funds a major
research program in molecular genetics, the first HHMI
program at a pediatric hospital.
Drs. Louis Kunkel and Stuart Orkin and their research
teams develop the technique of positional cloning to
identify the genes responsible for Duchenne muscular
dystrophy and chronic granulomatous disease,
respectively.
Researchers in Neurology and Genetics discover that
beta amyloid, a protein that accumulates in the brains of
people with Alzheimer's disease, is toxic to neurons,
indicating the possible cause of the degenerative
disease.
Dr. Joseph Murray, chief of Plastic Surgery emeritus,
wins the Nobel Prize for his pioneering work in organ
transplantation.
Boston Combined Residency Program formed.
transcription factor fosB have no nurturing instinct.
1999
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grown bladders into dogs, a major advance in the
growing field of tissue engineering.
Dr. Todd Golub first uses gene expression microarrays to
differentiate cancers.
Dr. Frederick Alt finds that end-joining proteins maintain
the stability of DNA, helping to prevent the chromosomal
changes that precede cancer.
Children's performs the world's first successful fetal
repair of hypoplastic left heart syndrome in a 19-weekold fetus.
Dr. Nader Rifai co-authors a landmark study showing
that a simple and inexpensive blood test for C-reactive
protein is a more powerful predictor of a person's risk of
heart attack or stroke than LDL cholesterol.
Drs. Heung Bae Kim and Tom Jaksic develop, test and
successfully perform the world's first-ever serial
transverse enteroplasty (STEP) procedure, a potential
lifesaving surgical procedure for patients with short
bowel syndrome.
Children's surgeons perform New England's first multivisceral organ transplant when an 11-month-old boy
receives a stomach, pancreas, liver and small intestine
from a single donor.
Dr. Stephen Harrison and colleagues show how a key
part of the human immunodeficiency virus (HIV) changes
shape, triggering other changes that allow the AIDS virus
to enter and infect cells.
Dr. Michael Greenberg discovers a brain-specific
microRNA that regulates the development of dendritic
spines in the brain that contribute to synaptic
development and plasticity.
Dr. Scott Armstrong identifies self-renewal genes that
turn a normal blood cell progenitor into a leukemic stem
cell.
Dr. David Pellman discovers a set of genes whose loss is
only lethal in hyperdiploid cells and are therapeutic
targets in hyperdiploid cancer cells.
Dr. Hannah Kinney links sudden infant death syndrome
(SIDS) to abnormalities in the brainstem serotonin
system, which regulates breathing, blood pressure, body
heat and arousal.
Charles Nelson proves that abandoned children do
much better cognitively if moved from institutions to
foster care.
Dr. Len Zon discovers that prostaglandin E2 greatly
stimulates the growth of blood and probably other tissue
stem cells.
Dr Morris White shows that blocking insulin receptor
substrate-2 (IRS-2) signaling promotes healthy
metabolism and considerably extends life span.
Dr. Lois Smith finds that omega-3-polyunsaturated fatty
acids reduce pathological retinal angiogenesis and are a
potential therapy for retinopathy of prematurity.
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BOSTON COMBINED RESIDENCY
2008 Dr. George Daley discovers how to reprogram human
somatic cells to pleuripotent stem cells with defined
transcription factors.
2008 Dr. Chris Walsh and his colleagues identify several
genetic loci that cause autism.
2008 Dr. Rani George finds that activating mutations in the
receptor tyrosine kinase ALK cause some cases of
neuroblastoma.
2008 Drs Vijay Sankaran and Stuart Orkin discover that the
fetal hemoglobin to adult hemoglobin switch is
controlled by the BCL11A transcription factor. This
solves a decades old problem in hematology and has
important implications for the treatment of sickle cell
disease and thalassemias.
2008 Dr. Zhi He observes that stimulation of the mTOR pathway increases axon regeneration after CNS injury.
2009 Immune Disease Institute joins Children’s Hospital as
the Program in Cellular and Molecular Medicine.
2009 Drs. George Daley and Richard Gregory show that the
microRNA, Lin 28, plays an important role in germ cell
development and cancer.
2009 Drs. Len Zon and George Daley discover that blood flow
triggers development of hematopoietic stem cells.
2011 Drs. Luigi Notarangelo, Sung-Yun Pai and David
Williams achieve the first successful treatment of severe
combined immunodeficiency by gene therapy in the US.
2012 Dr. Heung Bae Kim develops novel method to stretch
arteries in vivo for repair of arterial defects.
2012 Standardized Clinical Assessment and Management
Plans (SCAMPS) method developed for reducing costs
and variability of care and improving outcomes.
2008 Manton Center for Orphan Disease Research founded.
Boston Medical Center
The establishment of Boston City Hospital (BCH) in 1864
was a major accomplishment for the City of Boston. BCH
was the first municipal hospital established in the United
States.
care of children and this
began the Pediatric
Service at BCH.
As a municipal institution, BCH began to provide much
needed health care to both the urban poor of Boston and
the ever-increasing number of Irish Immigrants entering
the city during the mid-19th century. Boston Medical
Center, which is the result of the 1996 merger of Boston
City Hospital and University Hospital, exists on the
grounds of the original Boston City Hospital. In the first 50
years of its existence, BCH did not have a Pediatric
Service. Children were admitted to one of the four Medical
or Surgical Services in wards that housed adults.
With support from the
City of Boston, funds
were earmarked for a free
standing Children’s
Building, and in honor of
the wife of Mayor Curley,
the Mary E. Curley
Early BCH ambulance
Pavilion for Children
opened in 1932. This nine story facility housed a Walk-In
Clinic, an Ambulatory Clinic and a large inpatient Pediatric
ward service, which occupied five stories of the Curley
Pavilion. A number of the current faculty provided care in
the Curley Pavilion.
In 1919 BCH determined that two buildings, near the site
of the current Menino Pavilion would be dedicated to the
Over the years, the Pediatric Service at BCH has
continued its long tradition of providing service and
Boston City Hospital, circa 1903
!
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BOSTON COMBINED RESIDENCY
patient care to the residents of Boston. The Department
continues to be a national leader in areas of advocacy,
urban health and health care services. Since its inception
under Dr. Martin J. English in 1923, and the continued
leadership of the preeminent pediatricians of their time —
Drs. Eli Friedman, Sydney Gellis, Horace Gezon, Joel
Alpert and Barry Zuckerman — the mission of the
department has continued to be integrated with the
changing needs of our patient population. The
Department remains committed to solving the health care
challenges of the urban poor and focuses its clinical and
research expertise in topics such as racial disparities,
malnutrition, infectious diseases, childhood obesity,
autism and medical informatics. While the landscape of
Boston has seen many changes in the 140-year history of
BCH/Boston Medical Center, the consistent mission of the
Department of Pediatrics remains imbedded in the
framework of the families and children they serve.
Boston Medical Center Milestones
1848 The Boston Female Medical College is established as
1850
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1897
1946
1970
1972
the first medical school created for educating women
physicians. It later became the New England Female
Medical College.
Samuel Shattuck, known as the Father of Public Health,
is the primary author of the “Report of the Sanitary
Commission of Massachusetts.”
Boston University merges with the New England Female
Medical College to establish the Boston University
School of Medicine
Dr. Solomon Carter Fuller, who would become the
nation’s first black psychiatrist, graduates from the
BUSM. A pioneer in Alzheimer’s research, Dr. Fuller was
an early proponent of minority recruitment.
Dr. Sydney Gellis becomes Chief of the Department of
Pediatrics at Boston City Hospital. Dr. Gellis was the
1959 President of the Society for Pediatric Research and
would late become Dean of BUSM in 1962.
Under the direction of Dr. Robert Klein, the Dept of
Pediatrics at Boston City Hospital developed one of the
first childhood lead poisoning programs in the nation.
Dr Joel Alpert becomes Chief of Pediatrics and in 1973
was awarded funding from RWJ to develop primary care
residency training. Dr. Alpert and Dr. Alan Cohen (BCH
Medicine) then received the first Federal Funding for the
first Primary Care Residency Training Program in the
nation, and the Pediatrics Dept at BCH developed a
national reputation for residency training in primary care
and community based pediatrics.
1974 Dr. Jerry Klein describes his work on occult bacteremia
in the New England Journal of Medicine. Dr. Klein was
the 2002 recipient of the prestigious Maxwell Finland
Award for Lifetime Achievement in Pediatric Infectious
Disease.
1982 Dr. Barry Zuckerman establishes a Developmental and
Behavioral Pediatric Fellowship Program that has
subsequently trained over 35 leaders in DBP across the
nation.
1989 Drs. Robert Needleman and Barry Zuckerman, with
colleague Kathleen Fitzgerald Rice, begin Reach out and
Read (ROR) in the primary care practice at BCH. In
1998, ROR received federal funding to establish a
national model combining literacy education promoted
by pediatricians. Currently there are more than 4500
sites, serving more than 5 million children nationally.
28,000 pediatricians, nurses and other clinicians have
been trained in the ROR strategy of early literacy.
!
1989 The Pediatric HIV program joins the NIH network to
develop new approaches to the treatment and
prevention of HIV. Under the leadership of Jerome Klein
and Steve Pelton, the division participates in landmark
studies of AZT in the newborn infant and helps to
establish the Women and Infants study of vertical
transmission.
1990 Hortensia Amaro establishes the MOM’s Project, a
community-based intervention program aimed at
improving birth outcomes and reducing drug use among
pregnant women by linking them with healthcare
services, social service supports, counseling and peer
support.
1993 Barry Zuckerman becomes Chief of Pediatrics and
establishes the Family Advocacy Program. This unique
collaboration between lawyers and pediatricians, now
called the Medical-Legal Partnership for Children
(MLPC), provides direct, proactive legal assistance in the
clinical setting to families at Boston Medical Center. The
MLPC also educates health care professionals to identify
non-medical barriers to a patient's health and to incorporate advocacy as part of their treatment plan. In 2007
the Robert Wood Johnson and Kellogg Foundations
provided support to establish the National Center of
MLP to disseminate the model nationally. Presently there
are over 220 MLP Programs
1994 With $40 million support from the Commonwealth Fund
and other fdns, Drs. Barry Zuckerman, Steven Parker,
Marilyn Augustyn and Margot Kaplan-Sanoff developed
and implemented Healthy Steps at 12 sites nationally.
1996 Boston Combined Residency Program (BCRP) formed.
1996 Boston Medical Center (BMC) was created by the
merger of Boston City Hospital and University Hospital.
1996 Project Health Project HEALTH (Helping Empower,
Advocate and Lead through Health), currently called
Health Leads, is founded by Rebecca Onie as a
collaboration of Harvard undergraduates and Boston
Medical Center’s Department of Pediatrics. It has grown
to a network of college volunteers and health care
mentors that aid inner-city children and families.
1997 Children’s Sentinel Nutritional Assessment Program
formed. CSNAP (currently renamed Children’s
Healthwatch) is a multisite surveillance program of
children birth to 3 years of age that monitors the impact
of economic conditions and public policies on the health
and well-being of very young children.
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BOSTON COMBINED RESIDENCY
1999 Under the direction of Dr. Bobbi Philipp, BMC became
the first hospital in New England to achieve BabyFriendly status, fully implementing the Baby-Friendly
Hospital Initiative, Ten Steps to Successful
Breastfeeding.
2004 Drs. Chi Huang and CC Lee establish the Global Child
Health Initiative at Boston Medical Center and the BCRP
2004 Boston University School of Medicine is designated as
the new site for the National Emerging Infectious Diseases Laboratories (NEIDL). This will be one of only four
non-governmental Biosafety level 4 laboratories in North
America. Designed to anticipate the research needs of
investigators over the next 20 years, the lab will engage
in cutting-edge research into diagnostic tests, treatments and vaccines for emerging infectious diseases
2004 Department of Pediatrics establishes the SPARK Center.
The Spark Center (a merger of two innovative programs:
the Children’s AIDS Program and the Family
Development Center) is a model childcare program
offering comprehensive, integrated services for children
and families whose lives are affected by medical,
emotional and/or behavioral challenges.
2005 The Medical Legal Partnership for Children received
2006 During the first 10 years of its formal organization, 15
members of the Division of General Pediatrics received
18 career development awards from the NIH and various
foundations.
2008 Boston University School of Medicine is awarded a
Clinical and Translational Science Institute named the
BU-BRIDGE from the NIH. The focus of this 7 million
dollar award is to increase the amount of translational
research done at BUSM/BMC.
2009 Project HEALTH received a $2M grant from the Robert
Wood Johnson Fdn to support the Family Help Desk
model in other institutions. Today, Project HEALTH’s 600
college volunteers staff Family Help Desks in 6 cities that
assist over 4,500 patients and their families annually in
securing health related community resources.
Drs.
Julie Herlihy and Bob Vinci establish a 4-yr Child
2011
Global Health Residency in collaboration with the Center
for Global Health and Development at the BU School of
Public Health.
2011 Dr. Howard Bauchner is named the 16th Editor in Chief of
the Journal of the American Medical Association
2013 Dr Bob Vinci becomes the Chief of Pediatrics at Boston
Medical Center.
funding to establish a national center directed by Ellen
Lawton, J.D. and Lauren Smith, M.D. There are now
Medical Legal Partnerships for Children in over 180
hospitals and health centers serving children and
vulnerable adult populations.
People
The Boston Combined Residency Program in Pediatrics was formed to meet the needs of the future, bringing together
the training programs of Boston Medical Center (formerly Boston City Hospital) and Boston Children’s Hospital. Boston
Medical Center has a long and important history of clinical research, advocacy, public policy and primary care training for
pediatricians in an urban setting. Boston Children’s Hospital is the nation's leading research and training institution
dedicated to the care of children, adolescents, and young adults with unusual and complex medical problems.
Pediatric care is changing rapidly and the dynamic interface between health care systems, and complex medical
challenges requires residency training programs to constantly modify our educational programs. Pediatricians of the
future will need advanced knowledge and skills to diagnose and treat children with medical and surgical problems in a
primary care setting. Subspecialists will work in close collaboration with primary care clinicians in managing children who
require their expertise. Imbedded within this framework of pediatric care must be the continued development of leaders
in academic medicine and research.
The goal of the Boston Combined Residency Program in Pediatrics is to provide our housestaff with the skills required to
attain leadership positions in academic pediatrics, to support their clinical and research careers, thus allowing them to
modify the future direction of pediatric health care. You will receive comprehensive training experiences which
emphasize outstanding clinical care, while integrating your training with advances in basic science, and provide you with
access to faculty who are leaders in Science, Clinical Care, Global Health, Advocacy and Public Policy. The BCRP is
committed to provide you with a dynamic training experience while emphasizing humanistic qualities in a supportive
training environment to assist you in reaching your professional and personal goals.
We believe the BCRP serves as a national model for pediatric training and comprehensive care for children. It has
brought together two great hospitals and universities not for economic gain, but rather to help craft the future of pediatric
care and training. We are pleased to offer this program for applicants interested in becoming leaders in pediatrics, and
we look forward to working with you as our colleagues to meet the challenges of pediatric health care and to help shape
the future of clinical care, research, and education.
!
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BOSTON COMBINED RESIDENCY
Program Directors
Ted Sectish
Bob Vinci
Dr. Ted Sectish is Professor of
Pediatrics, Vice-Chair for Education
and Program Director of the pediatric
residency training program at Boston
Children’s Hospital. He came to
Children's and the BCRP from
Stanford Medical School, where he
directed the pediatric residency
program for 14 years. Dr. Sectish, is a
distinguished educator in pediatrics
and the winner of many teaching awards. He obtained his
MD degree from Johns Hopkins and was an intern and
resident in pediatrics at Boston Children’s Hospital from
1977 to 1980. He spent 13 years as a general pediatrician
in Salinas, California before becoming the program
director at Stanford. Dr. Sectish has written extensively
about residency education, including an article on making
pediatric residency programs family friendly, an area of
special interest to him (J Pediatr 149: 1-2, 2006). His
interest in educational innovation and improvement spans
the continuum from undergraduate medical education to
graduate medical education and the professional
development of practicing physicians. His recent focus is
as one of the leaders of the I-PASS Study, a multi-site
collaborative research project to standardize the handoff
process to reduce medical errors and improve the
workflow of residents. He is the Executive Director of the
Federation of Pediatric Organizations that serves the
pediatric community with its Task Forces on Women in
Pediatrics and Diversity and Inclusion and its Strategic
Initiatives to host a Visioning Summit on the Future of the
Workforce in Pediatrics. As the Past-President of the
Association of Pediatric Program Directors, Dr. Sectish
has been involved in national issues related to graduate
medical education, including the formation of the Council
of Pediatric Subspecialties, which will serve as a home for
pediatric subspecialists and fellowship directors. He is a
member of the American Pediatric Society.
Dr. Bob Vinci has spent his entire
academic career at Boston Medical
Center (formerly Boston City
Hospital) and the Boston University
School of Medicine (BUSM). He
obtained his medical degree from the
Rutgers Medical School, now the
Robert Wood Johnson Medical
School, and was a Pediatric Resident
at Boston City Hospital from 1980 to
1983. He served one year as a Pediatric Chief Resident at
BCH, and then joined the faculty at BUSM in 1984. Dr.
Vinci is an accomplished clinician. He developed the
Division of Pediatric Emergency Medicine at BCH/BUSM
and in 1987 established the Fellowship Program in
Pediatric Emergency Medicine at BCH. After serving the
Department of Pediatrics as Vice Chairman for Clinical
Services for over 17 years, Dr. Vinci was recently
appointed the Chair of the Department of Pediatrics at
Boston Medical Center and the Joel and Barbara Alpert
Professor and Chair of the Department of Pediatrics at
Boston University School of Medicine. Dr. Vinci has been
involved in residency education for over 20 years and
began his commitment to residency education when he
served as the Program Director for the pediatric training
program at Boston City Hospital and Boston Medical
Center. Along with Fred Lovejoy, he established the
Boston Combined Residency Program in 1996 and has
served as a Program Director for the BCRP since its
inception. His areas of interest include academic
development of physicians, (J Pediatr 152: 599-600,
2008), offering flexible training options for pediatric
residents (Pediatrics 122: e938-44, 2008) and the
enhancement of systems to decrease medical errors. Dr.
Vinci is a member of the Association for Pediatric Program
Directors, where he currently serves on the National Board
of Directors, the American Academy of Pediatrics and the
American Pediatric Society. He has been married to his
wife Debra for 33 years and they have three children,
Allyson (age 31), Laura (age 29) and Sam (age 24). They
frequently open their house for theme dinners for
residents in the BCRP.
!
Page 9
BOSTON COMBINED RESIDENCY
Residency Program Leadership
Gary R. Fleisher, MD
Physician-in-Chief & Chair, Dept of Medicine
Boston Children’s Hospital
Robert J. Vinci, MD
Chair, Dept. of Pediatrics
Boston Medical Center
Theodore C. Sectish, MD
Vice Chair for Education & Program Director,
Boston Children’s Hospital
Robert J. Vinci, MD
Program Director
Boston Medical Center
Vincent W. Chiang, MD
Assoc. Program Director
Boston Children’s Hospital
Thomas J. Sandora, MD, MPH
Assoc. Program Director
Boston Children’s Hospital
Samuel E. Lux IV, MD
Director of Intern Selection
Boston Children’s Hospital
Joyce Patterson
Program Coordinator
Boston Children’s Hospital
!
Tanvi Sharma MD
Assoc. Program Director
Boston Children’s Hospital
Celeste Wilson, MD
Assoc. Chair, Intern Selection
Boston Children’s Hospital
Elayne Fournier
Intern Selection Coordinator
Boston Children’s Hospital
Daniel J. Schumacher, MD, MEd
Assoc. Program Director
Boston Medical Center
Colin Sox, MD, MS
Chair, Intern Selection
Boston Medical Center
Susan Brooks
Housestaff Coordinator
Boston Children’s Hospital
Pat Ciampa
Housestaff Coordinator
Boston Medical Center
Page 10
Interns and Residents
chemistry, astrophysics, computer science and
engineering. Plus all varieties of biological sciences. Thirtyfour have PhDs or PhD-like research experience and 18
We seek residents who are intelligent, curious, creative,
have an MPH, MPhil, MA, MS, MSc, MPP, MPA, MBA or
energetic, personable, and accomplished. Residents who
will become leaders in pediatrics. Residents with a sense of MEd. Many have years of experience before medical
school in fields such as business, science, education,
humor. We also seek residents who come from all parts of
engineering, nursing, advocacy, and health care policy.
the country and beyond and who have a wide variety of
Their interests are equally diverse. Among them, they
backgrounds.
speak 28 languages.
The 149 current residents illustrate our desire for diversity.
We believe this diversity greatly enriches the residency. It
They come from 31 states and 19 countries. They went to
stimulates creativity, promotes tolerance, and allows
84 colleges and 60 different medical schools, including 10
residents to excel in various ways within the program. It
international schools. They majored in 47 diverse subjects
in college—from history, sociology, political science, public also creates chances to try new things. Most importantly,
perhaps, it offers opportunities to establish rich friendhealth, environmental studies, government, literature,
ships. Nothing is more important in a residency than the
classics, languages, religion, gender studies, economics,
quality of the other residents. They will become, in many
business, education, nursing, journalism, anthropology,
cases, lifelong friends and colleagues. We believe that no
instrumental performance and art, to math, physics,
pediatric program has better residents than the BCRP.
Interns (Categorical Track)
Katherine (Katie) Freund
Brunsberg, MD
• Fond du Lac, WI
• Wisconsin (Zoology)
• University of Iowa Carver
School of Medicine
Margaret (Maggie) Chang,
MD, PhD
• Taipei, Taiwan → Orange
County, CA
• UCLA (Microbiology,
Immunology & Genetics)
• UCLA School of
Medicine
• PhD (Cellular & Molecular
Pathology)
Paul Critser, MD, PhD
• Madison, WI →
Indianapolis, IN
• Notre Dame (Chemical
Engineering)
• Indiana University School
of Medicine
• PhD, Purdue (Biomedical
Engineering)
Paul Esteso, MD, PhD
• Mexico City → Florida
• Florida → Florida State
(Chemical & Biomedical
Engineering)
• Johns Hopkins University
School of Medicine
• PhD (Cellular & Molecular
Medicine)
Suzanne Forrest, MD
• New Haven, CT
• Wellesley (History)
• Yale University School of
Medicine
Meghan (Meg) Fredette,
MD
• North Kingstown, RI
• Boston College (Biology)
• University of Connecticut
School of Medicine
William (Will) Goodyer,
MD, PhD
• Montreal, Canada
• Marianopolis → McGill
(Biology, French Horn)
• Stanford University
School of Medicine
• PhD (Developmental
Biology)
Taylor Howard, MD
• Waco, TX
• Baylor (Biology)
• University of Texas,
Galveston School of
Medicine
Brian Kalish, MD
• Medinah, IL
• Johns Hopkins (Public
Health Studies)
• Harvard Medical School
Ashley Koegel, MD
• Santa Barbara, CA
• UCLA (Biochemistry)
• Stanford University
School of Medicine
Albert (Al) Kwon, MD
(Peds Anesthesiology)
• Redwood City, CA→
South Korea
• MIT (Biology)
• Harvard Medical School
Joseph (Joe) Lazar, MD
• Garfield Heights, OH
• Columbia (Psychology)
• Columbia University
College of Physicians &
Surgeons
Page 11
Jonathan Levin, MD
• East Meadow, NY
• Brown (Computational
Biology)
• Yale University School of
Medicine
Laddy Maisonet, MD
(Child Neurology)
• Carolina, PR
• Columbus College of Art
& Design (Illustration)
• Kansas University School
of Medicine
Amar Majmundar, MD,
PhD
• Jenkintown, PA
• Temple (Biology)
• University of Pennsylvania
School of Medicine
• PhD (Cell & Molecular
Biology)
Nina Mann, MD
• Lujiang, China →
Barrington, RI
• MIT (Chemical
Engineering)
• Harvard Medical School
Blake Martin, MD
• Englewood, CO
• Princeton (Astrophysics)
• University of Colorado
School of Medicine
Jheanelle Lewis McKay,
MD
• Clarendon, Jamaica
• Caldwell College
(Biology)
• Jefferson Medical
College
Nathaniel (Nate) Mosley,
MD
• Ellijay, GA
• Georgia (Biochemistry &
Molecular Biology)
• Medical College of
Georgia
Edward (Ted) O’Leary, MD
• New Bedford, MA
• Boston College (Biology)
• University of Virginia
School of Medicine
Bianca Quinones-Perez,
MD
• San Juan, PR
• University of Puerto Rico
(General Sciences)
• University of Puerto Rico
School of Medicine
Michelle Long Schoettler,
MD
• Groton, CT →
Tallahassee, FL
• Florida (Psychology,
Neurobiology)
• Wake Forest School of
Medicine
David (Dave) Shulman,
MD
• Needham, MA
• Union College (Biology)
• Harvard Medical School
Jennifer (Jenn) Smith, MD
(Peds Anesthesiology)
• Huntsville, AL
• North Carolina (Physics)
• University of North
Carolina School of
Medicine
Narie Storer, MD, PhD
• Morton Grove, IL
• Harvard College
(Biochemical Sciences)
• Harvard Medical School
• PhD (Genetics)
Coral Stredny, MD
(Child Neurology)
• Dallas, PA
• University of Scranton
(Biochemistry)
• Jefferson Medical
College
Catherine (Cat) Taylor, MB
BChir
• London, UK
• Cambridge (Natural
Sciences)
• University of Cambridge
School of Clinical
Medicine
Amy Turner, MD
• Landrum, SC
• Clemson (Nursing)
• Medical University of
South Carolina
Matthew (Matt) Vogt, MD,
PhD
• St Louis, MO
• Washington University, St
Louis (Biology)
• Washington University, St
Louis School of Medicine
• PhD (Immunology)
Allison Whalen, MD
• Rocky Hill, CT
• Boston College (Biology)
• Georgetown University
School of Medicine
Molly Wilson-Murphy, MD
(Child Neurology)
• Southborough, MA
• Harvard College
(Psychology)
• Johns Hopkins University
School of Medicine
Page 12
Interns (Urban Health and Advocacy Track)
Rathi Asaithambi, MD,
MPH
• Houston, TX
• Rice (Sociology &
Religion)
• Baylor College of
Medicine
• MPH, Johns Hopkins
(Child & Adol Health)
Ioana Baiu, MD, MPH
• Bucharest, Romania →
Madison, WI
• Wisconsin (Neurobiology,
French)
• Harvard Medical School
• MPH (Health & Social
Behavior)
Alexandra Coria, MD
• Pasadena, CA
• Brown (Environmental
Studies)
• Dartmouth Medical
School
Kristen Grant, MD
• St Louis, MO
• Dartmouth (Biology)
• Washington University,
St Louis School of
Medicine
Heather Hsu, MD, MPH
• Dedham, MA
• Brown (Gender Studies)
• Harvard Medical School
• MPH, Pittsburgh
(Epidemiology)
Camila Mateo, MD
• Boca Raton, FL
• Florida (Health Sciences)
• Columbia University
College of Physicians &
Surgeons
Elyse Portillo, MD, MPH
• Albuquerque, NM, → CA
→ Houston, TX
• University of Texas,
Austin (Biology)
• Baylor College of
Medicine
• MPH, Texas (Community
Health Practice)
Theodora (Thea) Textor
Murray, MD
• Sheboygan, WI
• Harvard College
(Government)
• Boston University School
of Medicine
Erlinda (Chulie) Ulloa,
MSc, MD
• Orange, CA
• UCSD (Animal Physiology & Neuroscience,
Psychology)
• Stanford University
School of Medicine
• MSc (Microbiology &
Immunology)
Erin West, MD
• Bayport, NY
• Fordham (Biology)
• Harvard Medical School
Caitlin Woo-Pierce, MD
• Andover, MA
• Bowdoin (Biology,
Spanish)
• Albert Einstein College of
Medicine
Interns (Medicine-Pediatrics Track)
Shoa Clarke MD, PhD
• Portland, ME
• Cornell (Biology, Health &
Society)
• Stanford University
School of Medicine
• PhD (Genetics)
Darryl Powell, MD
• Philadelphia, PA
• Pennsylvania (Biological
Basis of Behavior)
• University of Pennsylvania
School of Medicine
Neelam Shah, MD
• Buffalo, NY →
Alexandria, LA
• Pennsylvania (Biological
Basis of Behavior)
• Johns Hopkins University
School of Medicine
Chase Yarbrough, MD
• Alpharetta, GA
• Stanford (Computer
Science)
• University of Colorado
School of Medicine
Page 13
Junior Residents (Categorical Track)
Gabriela (Gaby) Andrade,
MD
• El Salvador → Nashville,
TN
• North Carolina (Sociology
& Chemistry)
• Vanderbilt School of
Medicine
Eleni Asimacopoulos,
MBBS
• Houston, TX
• Imperial College School
of Medicine, London
Beate Beinvogl, MD
• Munich, Germany
• Technische University of
München School of
Medicine
• Pediatric Residency (3-yr)
Children’s Hospital of
Starnberg
Jessica Brick, MD
• Cleveland, OH
• Case-Western Reserve
(Biology & Religion)
• Case-Western Reserve
University School of
Medicine
Jessica (Jess) Chao, MD
(Child Neurology)
• Chelmsford, MA
• Harvard (Neurobiology)
• University of Vermont
College of Medicine
Christine Cherella, MD
• Warwick, RI
• Harvard (Biological
Sciences)
• Northwestern University
Feinberg School of
Medicine
Suzanne Chock, MD
• Mountain Home, Arkansas
• Harvard (Biochemistry)
• Columbia Univ College of
Physicians & Surgeons
• Pediatric Internship at
Children’s Hospital of
Philadelphia
Daniel (Pete) Duncan, MD
• New Haven, CT
• Stanford (Biological
Sciences)
• Yale University School of
Medicine
Adam Durbin, MD, PhD
• Toronto, ON
• York (Biochemistry and
Molecular Biology)
• University of Toronto
School of Medicine
• PhD (Oncology & Medical
Biophysics)
Elissa Furutani, MD
• Concord, MA
• Princeton (History)
• Dartmouth Medical
School
Amanda Gallant, MD
• Needham, MA
• Brown (Biochemistry)
• Boston University
School of Medicine
• Pediatric Internship at
Floating Hospital, Tufts
School of Medicine
Laura Gellis, MD
• Newton, MA
• Pennsylvania (Biological
Basis of Behavior)
• Albert Einstein College of
Medicine
Claire Graff, MD
• Pittsburgh, PA
• Washington & Lee
(Biology)
• University of Texas
School of Medicine at
San Antonio
Daniel (Danny) Hames,
MD
• Omaha, NE
• Creighton (Physics)
• Creighton University
School of Medicine
Alexander (Alex) Hirsch,
MD
• Houston, TX
• Pennsylvania (Biological
Basis of Behavior)
• University of
Pennsylvania School of
Medicine
Holly Hodges, MD
• Starkville, MS
• Baylor (Biology)
• Baylor College of
Medicine
Anuja Jain, MD, MEd
• Fremont, CA
• UCLA (Biology &
Education)
• University of Michigan
Medical School
• MEd, Harvard (Education)
Ervin Johnson III, MD, PhD
(Child Neurology)
• Pleasant Hill, CA
• University of California at
Davis (Neurobiology,
Physiology & Behavior)
• Univ of California San
Francisco Sch of Med
• PhD (Neuroscience)
Page 14
Kelsey Johnson, MD
(Peds Anesthesiology)
• Wayzata, MN
• Yale (Economics)
• University of
Pennsylvania School of
Medicine
Alyssa Kennedy, MD, PhD
• Mohnton, PA
• Haverford (Molecular
Biology)
• Drexel University College
of Medicine
• PhD (Molecular Cell
Biology )
Geri Landman, MD
• Frankford Township, NJ
• Williams (Biology and
Political Science)
• University of California
San Francisco School of
Medicine
Hojun Li, MD, PhD
• Columbia, MD
• Maryland (Biochemistry)
• Univ of Pennsylvania
School of Medicine
• PhD (Cell and Molecular
Biology)
Carolyn Marcus, MD
• New York, NY
• Princeton (Ecology &
Evolutionary Biology)
• Mt Sinai School of
Medicine
Christa Matrone, MD
• Spring Hill, FL
• New College of Florida
(Biology)
• University of Florida
College of Medicine
Jonathan (Jodge)
Meserve, MD
(Peds Anesthesiology)
• Boston, MA
• Tufts (Mathematics &
Geology)
• Oregon University
School of Medicine
Mugdha Mohanty, MBBS
• Cuttack, India
• Maulana Azad Medical
College
• Pediatrics Residency (3yr) at Maulana Azad
Anne O’Donnell, MD, PhD
(Peds Genetics)
• Shreveport, LA
• Tulane (Biological
Chemistry)
• Columbia Univ College of
Physicians and Surgeons
• PhD (Genetics)
Laura Petrini, MD
(Peds Anesthesiology)
• South Bend, IN
• Leigh (Biochemistry &
Religion)
• Univ of Pennsylvania
School of Medicine
Brian Quinn, MD
• Middletown, CT
• Maine (Nursing)
• Eastern Virginia Medical
School
Seán Reynolds, MBChB
• County Clare, Ireland
• University College Cork
College of Medicine
Angela Ricci, MD
• Westfield, NJ
• Princeton (Anthropology)
• Columbia University
College of Physicians &
Surgeons
Ethan Sanford, MD
(Peds Anesthesiology)
• San Antonio, TX
• Colorado (Biochemistry)
• Harvard Medical School
Margaret Stefater, MD,
PhD
• Gainesville, FL
• Northwestern (Biological
Sciences)
• University of Cincinnati
College of Medicine
• PhD (Neuroscience)
Michael Toce, MS, MD
• St Louis, MO
• Carleton (Biology &
Biochemistry)
• Medical College of
Wisconsin
• MS (Bacteriology)
Jennifer (Jena) Blumenthal Vacarella, MD
• Birmingham, AL
• Wofford College (Biology)
• University of Alabama
Tuscaloosa School of
Medicine
Jane Whitney, MD
• Boston, MA
• Wellesley (Psychology &
Classical Civilizations
• Stanford University
School of Medicine
Kellen Winden, MD, PhD
(Child Neurology)
• Redwood City, CA
• University of California at
San Diego (Animal
Physiol & Neuroscience)
• University of California at
Los Angeles
• PhD (Neuroscience)
Page 15
Junior Residents (Urban Health and Advocacy Track)
Emily Allen, MD
• North Haven, CT
• Swarthmore (Political
Science)
• University of Connecticut
School of Medicine
Christine Cheston, MD
• Oakton, VA
• Virginia (Human Biology)
• Johns Hopkins University
School of Medicine
Mei Elansary, MD, MPhil
• Egypt → Vienna, VA
• Pennsylvania (Environm’l
Studies & Biological
Basis of Behavior)
• Yale University School of
Medicine
• MPhil, Oxford University
(Medical Anthropology)
Curtis Nordgaard, MSc,
MD
• Princeton, MN
• St Cloud State University
(Psychology)
• University of Minnesota
Medical School
• MSc, McMaster (Biology
& Psychology)
Andrey Ostrovsky, MD
• Owings Mills, MD
• Boston University
(Psychology, Chemistry &
Biology)
• Boston University School
of Medicine
Alon Peltz, MD, MBA
• Israel → Beachwood, OH
• Ohio State (Operational
Management)
• Vanderbilt University
School of Medicine
• MBA (Business Admin)
Elliot Rabinowitz, MD
• Bedford, MA
• Haverford (Biology)
• University of
Pennsylvania School of
Medicine
Davida Schiff, MD
• Chicago, IL
• Columbia (Earth &
Environm’l Engineering)
• Boston University School
of Medicine
Jessica Schiffman, MD,
MPH
• Korea → China →
Atlanta, GA
• Cornell (College Scholar)
• Johns Hopkins University
School of Medicine
• MPH, Harvard (Health
Policy and Management)
Alla Smith, MD
• Annapolis, MD
• Bowdoin (Biology &
History)
• Yale University School of
Medicine
Amanda Stewart, MD
• Poway, CA
• University of California at
Los Angeles (Neurosci)
• University of
Pennsylvania School of
Medicine
• MPH (Social and
Behavioral Sciences
Robert (Blake) Windsor,
MD
• Atlanta, GA
• Georgia (Biological
Engineering)
• Mercer University School
of Medicine
Junior Residents (Medicine-Pediatrics Track, Year 2)
Kristin Castillo MD, MA
• Macomb, IL
• Washington University, St
Louis (Chemistry &
Biochemistry)
• Harvard Medical School
• MA (Med Anthropology)
Elizabeth (Liz) Petersen,
MD
• Stillwater, MN
• Gustavus Adolphus
(Biology)
• University of Minnesota
Medical School
Daniel (Dan) Schwarz,
MD, MPH
• Waynesburg, PA
• Vassar (Neuroscience &
Political Science)
• Warren Alpert Medical
School of Brown
University
• MPH, Harvard
(Management and Policy)
Michael (Mike) Sundberg,
MD
• Lancaster, CA
• California State, Long
Beach (Journalism &
Molecular Biology)
• Stanford University
School of Medicine
Page 16
Junior Residents (Medicine-Pediatrics Track, Year 3)
Morgan Chessia
Espérance, MD
• Scituate, MA
• Brown (Neuroscience)
• Harvard Medical School
Starla Kiser, MD. MPA
• Coeburn, Virginia
• East Tennessee State
(Biology & Humanities)
• Harvard Medical School
• MPA, Harvard, Kennedy
School Government
Timothy (Tim) Menza, MD,
PhD
• Nanuet, NY
• Williams (Biology)
• University of Washington
School of Medicine
• PhD (Epidemiology)
Ryan Schwarz, MD, MBA
• Waynesburg, PA
• Bard (Biology)
• Yale University School of
Medicine
• MBA, Yale School of
Management
Senior Residents (Categorical Track)
Laura Amar-Dolan, MD
• Old Town, ME
• Harvard (Neurobiology)
• Dartmouth Medical
School
Catherine Biggs, MD
• Ontario, Canada
• McGill (Interdepartmental
Honours Immunology)
• University of British
Columbia Faculty of
Medicine
Thea Brennan-Krohn, MD
• Orleans, MA
• Brown (Classics)
• Stanford University
School of Medicine
Samuel (Sal) Casella, MD,
MPH
• Grantham, NH
• St Lawrence Univ (Biol)
• Eastern Virginia Medical
School
• MPH, Dartmouth (Public
Health)
Katharine (Katie) Belmont
Cecala, MD
• Chicago, IL
• Williams (Biology &
Neuroscience)
• Washington Univ, St
Louis School of Medicine
Erin Cicalese, MD
• Seaford, NY
• Columbia (Biomedical
Engineering)
• University of Texas
School of Medicine at
San Antonio
Jessica (Jess) Kelly
Creeden, MD
• Needham, MA
• Dartmouth (Psychology)
• Tufts University School of
Medicine
Agnieszka Czechowicz,
MD, PhD
• Minneapolis-St Paul, MN
• Stanford (Biology)
• Stanford University
School of Medicine
• PhD (Developmental
Biology)
Ottavia Delmonte, MD,
PhD
• Asti, Italy
• MD and Pediatrics
Residency, Universita
degli Studi di Torino
• PhD (Immunology)
Catherine (Katie) Forster,
MD
• Wayne, PA
• Hamilton (Cultural
Anthropology)
• Jefferson Medical
College
Lillian (Lily) Guenther, MD
• Pelham, NY
• Brown (History)
• SUNY Downstate College
of Medicine
Elizabeth Hewett, MD
• Portland, ME
• Williams (Biology)
• Dartmouth Medical
School
Jonathan (Jon) Hubbard,
MD, PhD
• Summers, AR
• Arkansas (Biology &
Biophysics)
• University of Arkansas
College of Medicine
• PhD (Pharm & Toxicol)
Lisa Mahoney, MD
• Marlborough, MA
• Boston College (Biology)
• Boston University School
of Medicine
Elizabeth Moulton, MD,
PhD
• Columbus, OH
• North Carolina (Biology)
• Washington Univ, St
Louis School of Medicine
• PhD (Molec Microbiology
and Microbial Pathogen)
Page 17
Bugsu Ovunc, MD, PhD
• Turkey
• Hacettepe University
School of Medicine
• PhD (Genetics)
• Intern, Maimonides
Hospital, Brooklyn, NY
Nmazuo (Maz) Ozuah,
MB,BS
• Apapa, Nigeria
• Abia State University
College of Medicine
• Pediatrics Residency,
Lagos University
Teaching Hospital
Sarah Pickard, MD
• New Haven, CT
• Georgetown (Biology &
English)
• Stanford University
School of Medicine
Elizabeth (Liza) Welsh
Pingree, MD
• Swarthmore, PA
• Williams (Biology)
• University of
Pennsylvania School of
Medicine
Ryan Romans, MD
• Grand Rapids, MI
• Grand Valley State
(Biomedical Sciences)
• Creighton University
School of Medicine
Robert (Grant) Rowe, MD,
PhD
• Akron, OH
• Denison (Biochemistry)
• University of Michigan
Medical School
• PhD (Cell & Molec Biol)
Katherine Schlosser, MD
• Chappaqua, NY
• Stanford (Biology)
• Case Western Reserve
University School of
Medicine
Amy Tsou, MD, PhD
• Lake Jackson, TX
• Rice (Bioengineering)
• University of
Pennsylvania School of
Medicine
• PhD (Microbiology)
Robert Whitehill, MD
• Ann Arbor, MI
• North Carolina (Business
Administration)
• University of North
Carolina School of
Medicine
Monica Wojcik, MD
• Brookline, MA
• Princeton (Chemistry)
• Harvard Medical School
Eric Zwemer, MD
• Chesapeake, VA
• Princeton (Psychology &
Neuroscience)
• Harvard Medical School
Senior Residents (Urban Health and Advocacy Track)
Simone Bennett, MD, MS
• San Francisco, CA
• University of California,
Berkeley (Molec Cell Biol)
• MS, Univ of Washington
(Molecular Cell Biology)
• Drexel University College
of Medicine
• Intern, Oakland Children’s
Hospital
Rachael Bonawitz, MD
• Upland, PA
• Mount Holyoke
(Biological Sciences &
African Studies)
• Univ of Pennsylvania
School of Medicine
Stephanie Doupnik, MD
• Columbia, SC
• Virginia (Comparative
Literature)
• Drexel University College
of Medicine
Marissa Hauptman, MD,
MPH
• Scarsdale, NY
• Brown (Applied
Mathematics & Biology)
• New York University
School of Medicine
• MPH, Brown (Social and
Environ Epidemiology)
Maya Ilowite, MD
• New Hyde Park, NY
• Dartmouth (Genetics,
Cell & Developmental
Biology)
• Albert Einstein College of
Medicine
Julia Michie, MD, MPH
• Rochester, NY
• Northwestern (Journalism
& Political Science)
• SUNY Downstate College
of Medicine
• MPH, Columbia (Public
Health)
Page 18
Daniel (Dan) Parry, MD
• Glastonbury, CT
• Pennsylvania
(Economics)
• SUNY Downstate College
of Medicine
Eli Sprecher, MD, MPP
• Brooklyn, NY
• Harvard (Government and
Health Policy)
• Mt Sinai Sch of Medicine
• MPP, Harvard, Kennedy
Sch of Govt (Public Policy
and Healthcare Policy)
Yuen Lie (Lie) Tjoeng, MD
• St Louis, MO
• Missouri-Columbia
(Biological Sciences)
• Boston University School
of Medicine
Elizabeth Williams, MD
• Seattle, WA
• Colgate (Cellular
Neuroscience)
• University of Washington
School of Medicine
Natalie Stavas, MD
• Omaha, NE
• Creighton (Nursing)
• University of Nebraska
College of Medicine
Senior Residents (Medicine-Pediatrics Track, Year 4)
Alishya Mayfield, MD
• Banff, Alberta, Canada
• University of California,
Santa Barbara (Political
Science)
• Albert Einstein School of
Medicine
Patrick Newman, MD
• Anchorage, AK
• University of California,
Los Angeles
(Psychobiology)
• University of California,
San Francisco School of
Medicine
Jared O’Leary, MD
• Galion, OH
• Case-Western Reserve
(Biomedical Engineering)
• Vanderbilt University
School of Medicine
Maya Venkataramani, MD
• Clifton Park, NY
• Duke (Biology & German)
• Johns Hopkins School of
Medicine
Chief Residents (Boston Children’s Hospital)
Stephanie Chandler, MD
• Palo Alto, CA & Kent, OH
• Michigan (English
Language & Literature)
• Case-Western Reserve
School of Medicine
Bradley (Brad) Podd, MD,
PhD
• Greenwich, CT
• Virginia (Biology)
• University of Virginia
School of Medicine
• MS & PhD (Immunology)
Ariel Winn, MD
• Boston, MA
• Tufts (Biology &
Biomedical Engineering)
• New York University
School of Medicine
Chief Residents (Boston Medical Center)
Catherine (Kate) Distler,
MD
• Kansas City, MO
• Notre Dame
(Anthropology)
• Johns Hopkins University
School of Medicine
Laura Johnson, MD, MPH
• Durham, NC
• Princeton (History of Sci)
• Emory University School
of Medicine
• MPH, Rollins (Global
Epidemiology)
Page 19
Faculty Leadership
Boston Children’s Hospital
Gary R. Fleisher, MD
Physician-in-Chief and Chair of Medicine
Boston Children’s Hospital
Frederick H. Lovejoy Jr., MD
Vice Chair for Academic Affairs and Associate Physician-in-Chief
Theodore C. Sectish, MD
Vice Chair for Education and Residency Program Director
Samuel E. Lux IV, MD
Vice Chair for Research and Director of Intern Selection
Alan M. Leichtner, MD
Vice Chair for Clinical Services
Vincent W. Chiang, MD
Vice Chair for Finance
Mark A. Schuster, MD, PhD
Vice Chair for Health Policy
Jonathan A. Finkelstein, MD
Vice-Chair for Quality and Outcomes
Vincent W. Chiang, MD
Associate Program Director for Residency Training
Thomas J. Sandora, MD
Associate Program Director for Residency Training
Debra M. Boyer, MD
Associate Program Director for Residency Training
Stephanie F. Chandler, MD
Chief Resident
Bradley S. Podd, MD, PhD
Chief Resident
Ariel S. Winn, MD
Chief Resident
Divisions and Programs
Adolescent and Young Adult Med
Developmental Medicine
• Caesar (Substance Abuse)
Emergency Medicine
• Clinical Emergency Medicine
• Clinical Toxicology (Poison Center)
• Short Stay Program
Endocrinology
• Clinical Endocrinology
• Diabetes Program
• Neuroendocrinology
Gastroenterology and Nutrition
• Clinical Gastroenterology
S. Jean Emans, MD
Leonard A. Rappaport, MD
John R. Knight, MD
Richard G. Bachur, MD
Anne M. Stack, MD
Michele M. Burns, MD
Mark N. Baskin, MD
Joseph A. Majzoub, MD
Joseph I. Wolfsdorf, MB, BCh
Joseph I. Wolfsdorf, MB, BCh
Joseph A. Majzoub, MD
Wayne I. Lencer, MD
Alan M. Leichtner, MD
Christopher P. Duggan, MD,
• Clinical Nutrition
MPH
General Clinical Research Center
Ellis J. Neufeld, MD, PhD
• Ctr for Amb Treatment & Clin Res
Robert P. Sundel, MD
General Pediatrics
Mark A. Schuster, MD, PhD
• Children's Hospital Inpatient Service Vincent W. Chiang, MD
• CHPCC (Primary Care)
Joanne E. Cox, MD
• Clinical Effectiveness
Jonathan A. Finkelstein, MD
• Coordinated Care Service
Sangeeta Mauskar, MBBS
• Environmental Medicine
Alan D. Woolf, MD, MPH
• Family Develop’t Unit (Child Abuse) Alice W. Newton, MD
• Martha Eliot Health Center
Alex Epee-Bounya, MD
Genetics
Christopher A. Walsh, MD
• Clinical Genetics
Mira B. Irons, MD
• Metabolism
Gerard T. Berry, MD
• Genomics
Louis M. Kunkel, PhD
Hematology/Oncology
• Clinical Hematology
• Clinical Oncology
• Pediatric Oncology at the DFCI
• Stem Cell Transplantation
Immunology
• Allergy
• Dermatology
• Immunology
• Clinical Rheumatology
Infectious Diseases
• Clinical Infectious Diseases
Interdepartmental Programs
• Bioinformatics
• Cellular and Molecular Medicine
• Genomics
• Stem Cell Biology
Medicine Critical Care
Molecular Biology
Neonatology
• at Boston Children’s Hospital
• at Beth Israel Deaconess Med Ctr
• at Brigham and Women's Hospital
Nephrology
• Clinical Nephrology
Pulmonary Medicine
• Clinical Pulmonology
• Ina Sue Perlmutter Laboratory
David A. Williams, MD
Matthew M. Heeney, MD
Lisa R. Diller, MD
Stuart H. Orkin, MD
George Q. Daley, MD, PhD
Raif S. Geha, MD
Hans C. Oettgen, MD, PhD
Stephen E. Gellis, MD
Hans C. Oettgen, MD, PhD
Robert P. Sundel, MD
Michael Wessels, MD
Sandra K. Burchett, MD
Isaac Kohane, MD
Frederick W. Alt, PhD
Louis M. Kunkel, PhD
Leonard I. Zon. MD
Michael S. D. Agus, MD
Stephen C. Harrison, PhD
Stella Kourembanas, MD
Anne R. Hansen, MD
DeWayne M. Pursley, MD
Steven A. Ringer, MD, PhD
Friedhelm Hildebrandt, MD
Michael J. Somers, MD
Craig J. Gerard, MD, PhD
Henry L. Dorkin, MD
Craig J. Gerard, MD, PhD
Page 20
Faculty Leadership
Boston Medical Center
Robert J. Vinci, MD
Chief of Pediatrics, Boston Medical Center
Chair, Department of Pediatrics, Boston University School of Medicine
Robert J. Vinci, MD
Program Director
James Moses, MD
Associate Program Director
Kate Distler, MD
Chief Resident
Daniel J. Schumacher, MD
Associate Program Director
Laura Johnson, MD, MPH
Chief Resident
Divisions and Programs
Ambulatory Service
• Adolescent Medicine
• Continuity Care Clinic
• Lead Clinic
• Pediatric Primary Care
Behavioral Health
Cardiology
Children's Services
• Inpatient Pediatric Unit
• Neonatal Intensive Care Unit
• Normal Newborn Nursery
• Pediatric Intensive Care Unit
Child Protection Program
Community Pediatrics
Developmental and Behavioral Peds
• Child Witness to Violence Program
• Comprehensive Care Program
• Developmental Assessment Clinic
• Good Grief Program
• Grow Clinic
• Primary Care Enrichment Program
• Projects Dulce and Launch
• Reach Out and Read
• School Achievement Clinic
Emergency Medicine
• Clinical Simulation
Jose Alberto Betances, MD
Christina Nordt, MD, MPH
Seeta Badrinath, MD
Sean Palfrey, MD
Jose Alberto Betances, MD
Heather Walter, MD, MPH.
Sharon O'Brien, MD
Robert J. Vinci, MD
James Moses, MD
Alan Fujii, MD
Bobbi Philipp, MD
Kate Madden, MD
Robert Sege, MD, PhD
Shikha Anand, MD
Marilyn Augustyn, MD
Maxine Weinreb EdD
Jack Maypole, MD
Marilyn Augustyn, MD
Marie Trozzi, PhD
Deborah Frank, MD
Deborah Frank, MD
Robert Sege, MD, PhD
Marilyn Augustyn, MD
Stephanie Bienner, MD
David H. Dorfman, MD
Kimball Prentiss, MD
Gastroenterology and Nutrition
Endocrinology
• Diabetes
General Pediatrics
• Academic Fellowship
• HIV Primary Care
• Medical Student Teaching
Genetics
• Clinical Genetics
Health Leads
Hematology/Oncology
Infectious Diseases
• HIV Program
• Refugee Health
Neurology
• Neuroepilepsy Program
• Neurophysiology Program
Neurosurgery
Ophthalmology
Orthopedics
Otolaryngology
Pediatric Allergy
Pediatric Surgery
Pediatrics Weight Management Prog
Pulmonary Medicine
Claudio Morera, MD
Suleiman Mustafa-Kutana, MD
Angelina Bernier, MD
Michael Silverstein, MD
Megan Bair-Merritt, MD, MSCE
Alan Meyers, MD
Colin Sox, MD, MS
Audrey Woerner, MD
Lauren LIchten, MS, CGC
Mark Marino
Philippa Sprintz, MD
Stephen I. Pelton, MD
Ellen Cooper, MD
Elizabeth Barnett, MD
Karl Kuban, MD
Laurie Douglass, MD
William Debassio, MD, Ph.D
James Holsapple, MD
Steven Christiansen, MD
T. Desmond Brown, MD
Jessica Levi, MD
Joseph Zhou, MD
Catherine Chen, M.D
Carine Lenders, MD
Robyn Cohen, MD, MPH
Page 21
Facilities
Statistics
Children's Hospital Main Building front entrance
• 396 beds (~50% medical)
29 bed multidisciplinary ICU
29 bed cardiac ICU
24 bed neonatal ICU
12 bed medicine ICU
10 bed intermediate care ICU
13 bed stem cell transplantation unit
6 bed clinical research center
• 25,000 inpatient admissions
• 26,000 surgical procedures
1600 cardiac cath procedures
• 560,000 outpatient visits
225 specialized clinical programs
62,000 emergency department visits
• 1,100 medical and dental staff
• 1,600 nurses
• 34 languages spoken by patients
Boston Children’s Hospital
Boston Children’s Hospital is one of the largest pediatric
hospitals in the United States, and a major teaching
facility of Harvard Medical School. Founded in 1869 as a
20-bed hospital for children, it is now a comprehensive
medical center for pediatric and adolescent health care,
dedicated to excellence in patient care, teaching and
research.
There are 396 inpatient beds distributed on five floors in
the Main hospital building and in the state-of-the-art
clinical expansion building (Main South), which opened in
July 2005. With the opening of the new clinical building,
the hospital now houses a 29-bed multidisciplinary
intensive care unit, 12-bed medical intensive care unit, 24bed neonatal intensive care unit, 26-bed cardiac intensive
care unit, 10-bed intermediate care unit, 13-bed bone
marrow transplantation unit, and six-bed clinical research
center. Children's has physician services agreements for
inpatient pediatrics, emergency medicine and newborn
medicine at Winchester Hospital, Beverly Hospital,
Norwood Hospital, St Luke’s Hospital, and South Shore
Hospital. In addition, Children’s helps manage the
newborn services at Good Samaritan, Holy Family and St
Elizabeth’s Hospitals, and a subset of subspecialty services at Dartmouth-Hitchcock Hospital in Manchester, NH.
There are more than 100 outpatient programs ranging
from primary care to a wide variety of specialty programs.
Outpatient facilities include an 11-story building for
ambulatory services, the Adolescent/Young Adult
Program, Children's Hospital Primary Care Center, and
Martha Eliot Health Center, an affiliated neighborhood
health center. In addition, outpatient services are provided
at Children's satellite centers in Lexington, Peabody and
Waltham Mass., as well as through affiliations with Beverly
Hospital, South Shore Hospital, Winchester Hospital, and
hospitals in the Caritas Christi system, including Holy
Family, Good Samaritan, Norwood and St. Elizabeth's.
Children's is currently constructing a new building on the
west (Binney Street) side of the main hospital building.
This will provide 34 new single bed inpatient rooms, 20
‘short stay beds’, critical expansion of the Emergency,
Radiology and Surgical departments, and a Neuroimaging
Suite with additional MRI, functional MRI,
magnetoencephalography and near infrared imaging
tools.
Page 22
patients and families. Floors 6 to 11 include 70 new
cardiac, medical and multidisciplinary ICU beds, a
medical intermediate care unit, a cardiac catheterization
lab, inpatient echocardiography, and medical and surgical
patient beds. Floors one to three include eight operating
rooms, interventional radiology space and two floors of
administrative office space.
Fegan Building
This 12 story building sits in the middle of the Children's
campus, between the Hunnewell building and the Main
Hospital, and houses Children's ambulatory programs and
many clinician's offices.
The green-domed Hunnewell building is the architectural
signature of Boston Children's
Hunnewell Building
This famous "green-domed" building with its classic
columned facade on Longwood Ave was built in 1914 and
is the oldest building in the Children's complex. To many it
is the symbol of the institution. Today, it mostly houses
administrative offices, including the Dept. of Medicine,
which are located on the 2nd floor. The copper dome,
which covers an internal atrium, was reclad about 15
years ago and is only beginning to recover its verdigris
hue.
The Gamble Conference Room in the library
Library
The library is a beautiful building that lies next to the
Prouty Garden and was designed to blend into its
surroundings. Besides the usual books and journals, the
building contains a reading space overlooking the garden
stocked with daily newspapers, private study carrels,
computer graphics facilities, and the Gamble Room—a
recreation of a century old, cherry paneled doctor's study,
including a marble trimmed, bluestone hearth fireplace.
Prouty Garden
Main entrance of the Main South building
Main South
Children's opened this 11-story state-of-the-art clinical
building in 2005. An extension of the hospital's existing
Main Building, Main South gives clinicians access to
cutting-edge technology while carving out more room for
The Prouty Memorial Garden is nestled between the
Wolbach and Farley buildings and the Library. It is a quiet
and colorful oasis at the heart of the hospital. Designed by
the famous Olmstead landscape architects, it is modeled
after the terrace and garden at the Museum of Modern Art
in New York City and is filled with specimen plants and
trees surrounding a grassy lawn and fountain. The garden
provides a respite on a hectic day. A stone patio with
tables and umbrellas extends into the garden and is a
great place to have lunch, or coffee after rounds. The
Page 23
The Prouty Garden in spring with azaleas blooming
garden is also a wonderful spot for children and their
families to enjoy the outdoors on a nice day.
Enders and Karp Research Laboratories
The 13-story John F. Enders Laboratories for Pediatric
Research, named for the Nobel Prize recipient who
cultured the polio and measles viruses; the 12-story stateof-the art Karp Family Research Laboratories; and a
portion of the new neighboring Center for Life Science
Boston, add up to more than 755,000 square feet of
research space. These buildings contain basic scientists
and physician investigators in virtually every specialty. The
hospital faculty includes 6 members of the National
Academy of Sciences, 14 members of the Academy's
Institute of Medicine, 15 Fellows of the American
Academy of Arts and Sciences, 14 members of the
Enders Research Laboratories
Karp Building
Howard Hughes Medical Institute and a level of research
that rivals the very best research institutes in the world.
Funding for research at Boston Children’s Hospital totals
approximately $225 million and exceeds all other pediatric
hospitals in the United States.
Boston Children’s Hospital is also a leader in clinical
research and has recently doubled clinical research space
with the acquisition of a new building near the hospital.
The clinical research program has extensive support
services, including biostatisticians, epidemiologists,
database programmers, data coordinators and clinical
research coordinators who provide consultation to clinical
investigators. The hospital also has one of the oldest and
largest NIH-funded Clinical Research Centers in the
country.
Harvard Medical School and the Longwood Medical Area
Boston Children’s Hospital is the primary pediatric
program of Harvard Medical School, which is located next
to the hospital. All faculty hold academic appointments at
the medical school. There are more than 500 Harvard
Medical School faculty at Boston Children’s Hospital.
The central Quad of Harvard Medical School. Children's
Hospital is next to the buildings on the right.
Children's Hospital and Harvard Medical School are part
of a larger, roughly 20 square block campus called the
Longwood Medical Area. Children's sits in the center of
this area, next to the Brigham and Women's Hospital,
Beth Israel Deaconess Medical Center and the DanaFarber Cancer Institute, as well as Harvard Medical
School, and within a block of the Joslin Diabetes Center,
the Massachusetts College of Pharmacy, the Harvard
School of Public Health, and the Harvard School of Dental
Medicine. Some members of the staff are also staff
members at one of these neighboring institutions.
Page 24
Boston Children’s Hospital participates
in numerous cooperative programs. It is
a partner in Neonatology with Brigham
and Women's Hospital and Beth Israel
Deaconess Medical Center. It is the
headquarters of the New England
Regional Infant Cardiac Program, the
site of the Massachusetts Poison
Control System, a partner in the Joint
Program in Pediatric Hematology/
Oncology with Dana-Farber Cancer
Institute and a partner in the Joint
Program in Gastroenterology and
Nutrition with Massachusetts General
Hospital across town. Several surgical
departments are joint programs with the
Brigham and Women's Hospital.
Children’s lies at the center of the Longwood Medical Community
Recently, the Immune Disease Institute, which is partly
located in the Harvard Medical School buildings, joined
with Children’s Hospital to become the Program in Cellular
and Molecular Medicine. The IDI/PCMM, which originated
at Children’s Hospital years ago as the Blood Grouping
Laboratory, is, in a sense, coming home. The Program has
19 principal investigators and 200 staff who pursue basic
research in four principal areas: adhesion molecules and
inflammation, autoimmune and allergic disease, genetics
of immunodeficiency and cancer, and immune defenses
against infectious disease and tumors.
Statistics
• 425 total beds
36 pediatric inpatient beds
25 bed newborn nursery
18 bed neonatal ICU
6 bed pediatric ICU
• 3,000 inpatient admissions
• 2,400 deliveries
• 50,000 outpatient visits
• 29,000 emergency department visits
Boston Medical Center main entrance
Boston Medical Center
In July 1996, Boston City Hospital, Boston Specialty and
Rehabilitation Hospital, and Boston University Medical
Center merged to form Boston Medical Center (BMC).
Through its partnership with Boston University School of
Medicine and Boston Health Net neighborhood health
centers, BMC continues the mission set forth by Boston
City Hospital more than 125 years ago—to provide
medical care to the residents of Boston. Last year, the
Department of Pediatrics at BMC provided care to more
than 3,000 pediatric inpatients, 50,000 outpatients, and
29,000 patients in the emergency department. The
neighborhood health centers, which provide continuity
clinic sites for house officer training, contribute an
additional 110,000 ambulatory visits each year to the
program. Boston Health Net reflects our commitment to
Community Care by combining BMC with 15 community
based health centers into an integrated service delivery
network.
Page 25
Shapiro Ambulatory Care Building
Inpatient Facility
A state-of-the-art inpatient facility opened in January
1994. There is a 36-bed pediatric unit, a six-bed pediatric
intensive care unit, an 18-bed level III neonatal intensive
care unit and a 25-bed normal newborn nursery. There are
approximately 2,400 deliveries each year, 40 percent of
which are high risk. There are 25 outpatient programs
Yawkey Ambulatory Care Center
including primary care, adolescent and a variety of
specialty programs, many of which are directed towards
health care issues of urban children due to poverty.
Maxwell Finland Laboratory
The Maxwell Finland Laboratory for Infectious Diseases,
named for the world-renowned investigator of bacterial
diseases and antibiotics, houses the laboratories of the
divisions of pediatric infectious diseases, immunology,
pulmonary, and molecular biology. Research in these
laboratories focuses on problems of urban children.
Shapiro Ambulatory Care Building
In April 2011 BMC hosted the grand opening of the Carl J.
and Ruth Shapiro Ambulatory Care Center, the hospital’s
Isadore Talbot Building
new state-of-the-art facility for outpatient services. The
250,000 square foot, nine-story building allows consolidation of clinical programs and a standard of care delivery
that maximizes patient comfort and operation efficiency.
Yawkey Ambulatory Care Center
Home to all Ambulatory Care Programs at BMC, the
Moakley Building
Pediatric Department Programs are located on the fifth
floor of the Yawkey Ambulatory Care Center Building.
Residents who select BMC as their continuity practice site
will be based here at BMC. The Department of Pediatrics
provides extensive services to its patients in this
ambulatory site, including a food pantry, clinic-based
literacy program (Reach Out and Read) and specialized
Health Services screening for our patients and their
families (Project Health Help Desk).
Isadore Talbot Building
The Talbot Building demonstrates the beautiful
architecture of turn-of-the-century Boston. It was the
original site of the Massachusetts Memorial Hospital
(predecessor to BMC) and is now renovated on the BMC
Page 26
campus and is the site of the Boston University School of
Public Health.
Moakley Cancer Care Building
With the November 2006 opening of the Moakley Building,
Boston Medical Center had reached its goal of providing a
best-in-class, centralized cancer and ambulatory care
facility that embodies our commitment to provide
exceptional care, without exception. Named in honor of
the late Congressman John Joseph Moakley, a devoted
champion of BMC, the building is designed to streamline
care by consolidating the diagnostic and cancer
treatments that were scattered across the 16-squareblock Medical Campus. The latest equipment and
technology supplement the services offered, including the
diagnosis and treatment of cancer and digestive and
otolaryngology disorders, a breast health center, and an
ambulatory surgery center.
Boston University School of Medicine
Boston University School of Medicine (BUSM) is located
in the historic South End of Boston and shares a campus
with Boston Medical Center Hospital, the School of Public
Health, the Goldman School of Dental Medicine, the
Solomon Carter Fuller Mental Health Center, and the
Boston Public Health Commission. This campus hosts
approximately 700 medical students, along with 550
School of Public Health students, and 500 graduate
students receiving master's and doctorates, BUSM has
more than 3,000 full-time and part-time faculty members.
Besides the 4-year MD program, there are a number of
dual degree options and students may earn a combined
MD/PhD, MD/MPH, or MD/MBA.
Boston University School of Medicine began as the New
England Female Medical College, which opened in 1848
as the first institution in the world to offer medical
education to women. In 1873, the college merged with
Boston University, becoming the first coeducational
medical school. Throughout its history BUSM has
maintained a strong commitment to the study and
practice of medicine in the context of a mission of service
to society. In addition, BUSM is a major research
institution with over 600 funded research programs and
more than 1,000 active clinical trials, providing an
exceptional environment for students interested in basic
science, clinical investigation, or public health and health
services oriented research. Students may also participate
in international health programs and a variety of
professional and social service activities.
BUSM is distinguished by its programs in cardiovascular
diseases, cancer, pulmonary disease, human genetics,
dermatology, arthritis, geriatrics, Alzheimer's disease,
Parkinson's disease, public health, law and medicine, and
medical ethics, among others. Boston University School
of Medicine continues to provide the leadership for the
Framingham Heart Study, the largest epidemiological
study in the world. As a leading medical research
institution BUSM is ranked 40th in receipt of federal
funding. In 2009, the Medical Campus received $329
million in awards. Of this, the BUSM received $156 million,
the School of Dental Medicine $14 million, and the School
BioSquare Research Center at BUSM
of Public Health $32 million. Research awards to the BUaffiliated Boston Medical Center (BMC), where many of
the faculty’s research grants are awarded and
administered, totaled $127 million. The school, in
partnership with Boston Medical Center, continues to
build BioSquare, a 16-acre state-of-the-art biomedical
research and business park, next to its campus in the
South End. BioSquare provides BUSM with an additional
2.5 million square feet of research space. There is a
particular emphasis on interdisciplinary research programs
featuring investigators from the School of Medicine
collaborating with investigators at the other medical
campus schools (Public Health and Dentistry), our
principle teaching hospital (Boston Medical Center), and
the Charles River Campus of Boston University. These
collaborative projects often focus on urban health
problems, health disparities, and issues of health care
delivery to vulnerable populations and underserved
communities.
Page 27
Program
What's Special About the BCRP
1. Residents and faculty: diversity and unmatched
quality
2. Unique combination of the leading pediatric
subspecialty and research hospital with the leading
center in urban pediatrics and patient advocacy
3. Commitment to education and innovative initiatives
like the BCRP Academies.
4. Intertwining of high quality research and clinical care
5. Flexibility and family friendliness
6. Academic Development Block
7. Harvard and BU medical students
8. Resident influence on organization of residency
through the Residency Program Training Committee
9. Global Child Health Initiative
10. Medical-Legal Partnership—physicians and lawyers
working together advocating for patient's legal
concerns in Boston
11. Countway Library and extraordinary electronic library
facilities
12. Boston and New England
Tracks
The Boston Combined Residency Program in Pediatrics
(BCRP) at Boston Children’s Hospital and Boston Medical
Center emphasizes training in general pediatrics for all
residents, regardless of their ultimate career plans. The
program offers two tracks:
• Categorical Track (31 residents) — emphasizing training
in academic medicine and pediatric subspecialties
• Urban Health and Advocacy Track (11 residents) —
emphasizing training in urban pediatrics, public policy
and advocacy
Categorical Track (NRMP #1259320C0)
This track is designed for applicants who wish to focus on
academic general or specialty pediatrics. Besides the
strong educational base in general and subspecialty
pediatrics, principles of academic leadership are actively
taught throughout the three-year training program. About
85% of the Categorical track graduates enter subspecialty
fellowships or academic general pediatrics fellowships,
but some pursue pediatric practice, hospitalist positions,
global health and health policy experiences, and health
services research training programs.
Categorical track residents have opportunities for
research funding, exposure to academic meetings and
active mentoring by general pediatrics and subspecialty
faculty. Most residents participate in the standard threeyear curriculum; however, the two research tracks of the
American Board of Pediatrics—the Integrated Research
Pathway, and the Accelerated Research Pathway—are
Dr. Sectish meets with a resident
available to housestaff pursuing academic research
careers. In fact, the BCRP has been one of the leading
programs for facilitating resident participation in these
nonstandard training pathways. Residents interested in
these pathways must indicate interest early in intern year
and demonstrate superior clinical competence and scores
on the In Training Examination of the American Board of
Pediatrics that predict successful passage of the general
pediatrics certifying examination. The Executive
Committee oversees the selection process for interested
candidates. Decisions are made in November of the intern
year.
Categorical residents do approximately 70 percent of their
training at Children's Hospital and 30 percent of their
training at Boston Medical Center.
Page 28
Inpatient general pediatrics rotations are spent primarily at
Boston Medical Center in the PL-2 and PL-3 years.
Common Aspects
Both tracks are geared towards training outstanding
general pediatricians. Rotations in the two tracks are very
similar and all residents work at both institutions, but the
faculties at Children's Hospital and Boston Medical
Center have different interests and the two institutions
have a different focus, which allows residents to focus
upon their individual goals and take advantage of the
diverse resources to explore and prepare for careers in
virtually any aspect of pediatrics.
Dr. Zuckerman Reaches Out and Reads
Urban Health and Advocacy Track
(NRMP #1259320C1)
This track was previously called the Primary Care Track
but has been renamed to more accurately reflect its
mission. It provides general pediatric training with an
emphasis on experiences in the primary care of underserved children and their parents in an urban setting. This
track allows residents to focus on their interests in general
academic pediatrics, public health policy, advocacy,
community pediatrics, and global health. Development of
leaders in these areas is a goal of this track. Beginning in
the PL2 year, Urban Health and Advocacy Track (UHAT)
residents select an additional half-day experience to
augment their training. Residents have the option of
choosing between a second continuity clinic and a project
in urban health, advocacy, global health or public policy.
Those selecting a project are coupled with a faculty
mentor throughout the PL2 and PL3 years. The UHAT
curriculum is enhanced by monthly educational sessions
on child health and advocacy, as well as by regularly
scheduled evening seminars on health policy. Over the
past two years these sessions have been augmented by
the development of UHAT specific mentoring groups,
which, under the direction of faculty leaders, provide an
introduction in careers in global health, health services
and health policy.
Many UHAT graduates have careers in academic medicine
with a focus on health care issues of the urban poor,
serving as researchers, advocates, community leaders
and clinicians. They often practice in urban settings, and
many pursue academic general pediatric fellowships,
advocacy fellowships, masters' programs in public health
and health services research fellowships.
UHAT residents spend 40 percent of their time at Boston
Medical Center and 60 percent at Children's Hospital.
It is important to emphasize that residents in the two
tracks are all part of the same program and function as
one. They are totally intermingled in all aspects of the
program and, aside from the program leaders, few faculty
or staff know which residents belong to which track.
As described in detail in the Application section, each
track has a separate match number through the National
Resident Matching Program (NRMP) and has a separate
selection process. Applicants can apply to either one or
both tracks. Because the tracks are quite similar and the
program is highly unified and, because most applicant's
interests overlap the missions of each track to some
degree, most applicants should apply to both tracks.
Combined Pediatrics-Anesthesia
The BCRP was one of the first residency programs to offer
combined training in Pediatrics and Anesthesia (NRMP
#1259726C0). Residents spend their first year in
pediatrics residency. The following year is the first year of
anesthesia training, followed by three years of integrated
residency training in both pediatrics and anesthesia.
Throughout the three years of integrated training, while
residents are doing core training in Pediatrics or
Anesthesia, they attend conferences and participate in
core clinical activities once a month in the other discipline
to keep the combined program fully integrated.
Individuals ideally suited for this combined training will
likely pursue careers at the interface between critical care,
pediatrics, and anesthesiology. Examples of such careers
include hospitalist medicine, pain and palliative care, outof operating room procedural and sedations services, and
members of integrated subspecialty teams in pediatrics,
critical care and anesthesiology. The program is described
in detail at http://www.childrenshospital.org/bcrp/
Site2219/mainpageS2219P17.html
Combined Pediatrics-Genetics
The BCRP offers combined training in Pediatrics and
Medical Genetics (NRMP #7652444017) starting with a
Page 29
complete year of pediatrics residency in year one and
integrated training for the remaining four years, including a
year of research. The program is detailed at http://
www.childrenshospital.org/bcrp/Site2219/
mainpageS2219P16.html.
Combined Pediatrics-Child Neurology
pediatrics in some other program. The child neurology
programs at Boston Children’s Hospital are described in
detail at http://childrenshospital.org/clinicalservices/
Site3090/mainpageS3090P0.html. The programs at
Boston Medical Center are described at http://bmc.org/
pediatrics-neurology/residencyprogram.htm.
The BCRP offers two different Pediatrics-Child Neurology
programs: one a joint program between the Categorical
Track and the Child Neurology program at Boston
Children’s Hospital (NRMP #1259185C0), and one
between the Urban Health and Advocacy Track and the
Child Neurology program at Boston Medical Center
(NRMP #1257185C0). These two "Categorical" programs
both begin with 2 years of general pediatrics in the
appropriate track of the BCRP followed by three years of
child neurology at either Boston Children’s Hospital or the
Boston Medical Center, depending on the program. Both
child neurology programs also offer separate “Advanced”
positions that are not linked to the BCRP, where the
matched residents first complete their 2 years of general
Harvard BWH/BCH Med-Peds
Residency
Curriculum Reform and
Residency Program Organization
curriculum. The committee’s structure was reorganized to
align residents and faculty members with the main
educational elements of the residency program
curriculum. The RPTC Executive Committee oversees and
integrates the work of five standing Committees for
Inpatient Care, Subspecialty Experiences, Intensive Care,
Ambulatory Experiences, and the Individualized
Curriculum. On all committees of the RPTC, there are
In 2012, the Residency Program Training Committee
(RPTC), the committee responsible for development of
new training initiatives and for review of the curriculum for
over 40 years, conducted a comprehensive review of the
The Harvard Associated Medicine & Pediatrics Programs
were established 22 years ago. Since that time, they have
grown from a small, single-institution program that
recruited two interns per year into an outstanding, highly
competitive training program involving three major
teaching hospitals and their affiliated community hospitals
and clinics. For additional information about the Harvard
BWH/BCH Med-Peds Program, please visit: http://
www.brighamandwomens.org/
Departments_and_Services/medicine/
medical_professionals/residency/MedPeds/default.aspx
Page 30
faculty representatives from each institution, but residents
elected from each class constitute the majority of the
committee members. The fact that residents in the Boston
Combined Residency Program (BCRP) are primarily
responsible for directing their own program and deciding
critical details is one of the great strengths of the program.
Based on new 2013 ACGME Program Requirements for
Graduate Medical Education in Pediatrics the RPTC and
its standing Committees redesigned the residency
program curriculum while maintaining compliance with
new program requirements. Our aim is to create an
innovative curriculum that provides rigorous pediatric
training, meets current unmet curricular needs, and
provides flexibility for professional development. We
believe the new BCRP curriculum reflects the mission,
vision, and values of our program and will enhance the
academic focus that sets us apart as a pediatric residency
program nationally.
BCRP Administration and
Operations
The BCRP is the union of prior residency programs at
Boston Children’s Hospital (BCH) and Boston Medical
Center (BMC) and functions as a one integrated program
with the leadership at each institution working
collaboratively. At each site there are weekly meetings of
the program leaders (program directors, chief residents,
administrative staff, and, when appropriate, department
chairs). The Executive Committee is comprised of all
program leaders and meets monthly and alternates sites.
Regular class meetings every few months allow for
exchange of ideas, information, and areas of needed
improvement. Town meetings of the entire residency serve
a similar function and occur every two to three months.
These gatherings provide an open forum for discussion on
a variety of topics related to residency education.
Progress Notes, a weekly newsletter, written by the chief
residents, features a column, Program Directors’ Corner,
in which the leadership provides an opportunity for real
time discussion of events, ideas for curricular change,
areas of success to celebrate, or areas of improvement
that need action.
In these multiples venues, we hope to continue to foster
bidirectional exchange of information, ideas, and issues
with the ultimate goal of constantly improving the
education and training within the BCRP.
Residents serve as a driving force for change in the
program. They play a key role in the Residency Program
Training Committee and the resident voice at class
meetings and town meetings is pivotal to curricular
development. The wonderful collaboration of residents
with chief residents and program leadership is a
significant feature of the BCRP.
The 2013-2014 BCRP Program
The New BCRP
The re-designed residency program is the culmination of
the efforts of residents and faculty on the five Committees
of the Residency Program Training Committee over the
past year. Consistent with the program’s mission, vision,
and values, the new BCRP Curriculum features these key
elements to produce future leaders in American
Pediatrics:
• The Quarter System: Partitioning of ambulatory and
inpatient time in Intern Year, featuring the Keystone
Quarter which integrates Developmental and Behavioral
Pediatrics with Ambulatory Pediatrics and Child
Advocacy, Emergency Medicine, and Longitudinal
Ambulatory Experiences
• Enhanced ambulatory training experiences in general
and subspecialty pediatrics
• New Inpatient Subspecialty Teams
‣ Hematology – Allergy – Immunology –
Rheumatology (HAIR)
‣ Pulmonary – Endocrinology – Adolescent – Renal
(PEAR).
• Longitudinal Subspecialty Experiences – learning the art
of diagnosis and disease management
• Creation of the BCRP Academies: Innovative,
academic homes
The Quarter System: Partitioning of Ambulatory
and Inpatient Time in Intern Year
In Intern Year, the Keystone Quarter provides an
integrated 12-week block that serves as a foundational
experience in ambulatory pediatrics, child advocacy,
developmental and behavioral pediatrics, emergency
medicine, and longitudinal ambulatory experiences. The
Quarter System facilitates an integrated approach to
didactic instruction via two weekly Keystone Quarter
Seminar Series for the 10-11 residents assigned to the
block. One series of seminars is devoted to child
advocacy and the other to developmental and behavioral
pediatrics and primary care. Residents flow through the
Intern Year schedule in a pattern of 12 weeks of inpatient
rotations alternating with 12 weeks of ambulatory training.
Apart from the Keystone Quarter, the other three Quarters
(one ambulatory-focused and two inpatient-focused)
Page 31
feature more traditional 4-week block experiences
clustered within each 12-week block:
• Adolescent Medicine – Newborn Medicine – Night Ward
Team and Vacation
• General Pediatrics Inpatient Wards
‣ BMC Wards,
‣ BCH 9E, BCH 7W (PEAR), BCH 6E (HAIR)
‣ BCH Short Stay Unit
• BWH and BMC Neonatal Intensive Care Units and BCH
Intermediate Care Program (a step-up unit)
Overall, the adoption of the Quarter System increases the
amount of ambulatory training time in the Intern Year
compared to traditional pediatric training models. We
believe this approach provides a strong foundation in
general pediatrics, greater opportunities for longitudinal
care, and a comprehensive understanding of community
resources.
Enhanced Ambulatory Training Experiences in
General and Subspecialty Pediatrics
In addition to the enhancements to ambulatory training
experiences in general pediatrics as introduced by the
Keystone Quarter, we have made significant
improvements in the amount of ambulatory training time
within our PL-2 pediatric subspecialty rotations. Each of
the following subspecialty rotations anchored on inpatient
specialty units now integrates ambulatory subspecialty
clinic time for approximately 20-25% of the 4-week block
rotation:
• Cardiology
• Gastroenterology
• Oncology
• Pulmonary Medicine
In addition, interns on 7W PEAR team will attend clinics in
endocrinology and nephrology and interns on 9E will
attend allergy-immunology and infectious diseases clinics
to provide an exposure to the outpatient focus of these
subspecialties. Junior residents on the 6E HAIR team will
split their time between leading the inpatient team and
having outpatient opportunities in hematology and
rheumatology clinics.
Our program’s aim is to equip our residents with the
knowledge and skills of a general pediatrician who knows
how to evaluate and treat the most common problems
referred to pediatric subspecialists. This integrated
approach will facilitate an understanding of both the
breadth and depth of pediatric subspecialty care.
New Inpatient Subspecialty Teams: Hematology –
Allergy – Immunology – Rheumatology and
Pulmonary – Endocrinology – Adolescent – Renal
In an effort to create more educational and clinically
effective inpatient ward teams, we created a new team
and grouped complementary subspecialty services
together. The new inpatient team with its home base on
6E is the ‘HAIR’ Team consisting of the Hematology,
Allergy, Immunology, and Rheumatology services. As a
result, the remaining subspecialty services based on 7W
form a smaller team with fewer subspecialties, named the
‘PEAR’ Team. It consists of the Pulmonary Medicine,
Endocrinology, Adolescent Medicine, and Renal services.
These smaller teams will provide additional Junior
Resident Supervisory Experiences and new opportunities
to attend ambulatory subspecialty clinics. As described in
the section above, these smaller teams will include
outpatient time in subspecialty clinics to broaden the
subspecialty experience with a focus on the common
referrals to the subspecialties from general pediatricians.
Longitudinal Subspecialty Experiences – Learning
the Art of Diagnosis and Disease Management
In 2012-13, we piloted the option of substituting pediatric
subspecialty clinics for general pediatric clinics during the
PL-3 Year. We will continue to offer this option for Senior
Residents, allowing residents with a known interest in a
particular subspecialty to focus their Longitudinal
Ambulatory Experience on that subspecialty.
In addition, in 2013-14, we will pilot a longitudinal subspecialty experience for Interns and Juniors who match to
the Categorical Track. Six categorical residents from the
Pl-1 and Pl-2 years will participate in an ambulatory
subspecialty experience that consists of 16 half days
throughout the year in a single ambulatory subspecialty
program. The goals are: 1) to develop diagnostic and
management skills for common acute and chronic
problems that present to pediatric subspecialists, 2) to
develop skills in subspecialty consultation, and 3) to
understand the interface between primary care providers
and subspecialists.
Page 32
Creation of the BCRP Academies: Innovative
Academic Homes
The BCRP has a long history of producing academic
pediatricians. With new program requirements that
include six months of individualized curriculum for each
resident, we identified the need for academic homes
consisting of residents, faculty and other trainees who
share intellectual interests. We have created four BCRP
Academies consistent with the interests and intellectual
pursuits of our trainees and our faculty:
•
•
•
•
Academy of Investigation
Academy of Clinical Innovation
Academy of Education
Academy of Community and Global Societies
The overarching goals of the BCRP Academies are to:
• Promote formal and informal faculty-resident
interactions
• Promote the concept of “interest groups” within
Academies
• Develop an inventory of Academy-specific activities
• Develop, with input from residents, a menu of
Academy-specific concrete skills such as writing grant
and participating on project teams
Faculty within the BCRP Academies are motivated
individuals who will endeavor to develop collegial
relationships with BCRP residents and provide them with
opportunities for advising, professional development,
career guidance, and mentoring. Each resident will have 6
months of Individualized Curriculum built on the
foundation of our longstanding and unique PL3 rotation,
the Academic Development Block (ADB). This 3-month
block provides each BCRP resident with the opportunity
to do a scholarly project. Mentoring residents about their
Individualized Curricula (ADB coupled with other clinical
experiences) will become a major focus of the Academies’
activities.
Academy activities will begin with Intern Orientation with
scheduled time occurring throughout the year. Among the
activities being planned include four all-Academy days
yearly, Academy-specific afternoons once a month,
regular journal clubs, and monthly Academy noon
conferences. Time will be set aside in a variety of other
venues, including residency-wide retreats, rising junior
and rising senior orientations, and evening/weekend
seminars and informal events.
We anticipate that the Academies will become the
professional development focus within our training
program and will better serve the individual needs of our
trainees as they launch their academic careers.
Recent changes in the program provide
more time with patients
Other Recent BCRP Changes
Geographic Ward Team Structure at BCH, Family
Centered Rounds, Structured Approach to Signouts, and Duty Hours Improvements
The leadership, faculty, and residents of the BCRP created a new team structure for July 2008 on the inpatient
wards of Boston Children’s Hospital—the geographic
system of inpatient ward teams. Over the past several
decades, inpatient resident teams had evolved to single or
multiple specialty-based teams often on several different
units and floors of the hospital. This structure affected
efficiency, communication, and teamwork.
To improve patient care, optimize communication, and
enhance efficiency of team function, the BCRP created
multiple geographic (unit-based) ward teams. We continue
to study the effects of the geographic system and have
these objectives in mind as we continually improve the
systems of care:
• More time for patient interactions and teaching at
bedside
• More opportunity for family centered rounds
• Better care coordination and communication with
nursing staff
• Continued focused subspecialty education for our
housestaff
In February of 2010, we implemented family-centered
rounds on our general pediatrics teams at BCH and BMC.
To facilitate this change in rounds format, we split our
traditional four-intern teams (with one Senior and an
Associate Senior) into two teams, each with its own
Senior. The aim of this change was to increase time at the
bedside, to empower interns with greater ownership of
their patients and direct communication with patients and
families on rounds, and to create a more efficient team
structure. It has been a successful project thus far. We
studied the impact on nurse-resident communication and
found improvements (Gordon MB. Arch Pediatr Adolesc
Med 2011; 165:424-428).
Page 33
As part of our aim to improve communication and patient
safety (reduction in medical errors), we piloted and
implemented a standardized approach to resident
handoffs on the inpatient units with the introduction of the
I-PASS handoff process. We employ a standard language
for our verbal handoffs to focus the discussion at evening
sign-out. Using our EMR, we developed an electronic
handoff tool that imports medical information
automatically and residents update text fields within the
electronic handoff tool to provide timely information about
illness severity, patient summary, action lists, situation
awareness and contingency plans to ensure a shared
mental model of the patients on the team between the
incoming and outgoing teams. A pilot study demonstrated
a 40% reduction in medical errors, a decrease of time at
the computer (roughly 30 minutes per day), and increased
time at the bedside (30 minutes per resident per day). On
the basis of these results, we are beginning to implement
the I-PASS handoff process across our program. More
information about the I-PASS study and the educational
curriculum is available at www.ipasshandoffstudy.com, on
the MedEdPORTAL (https://www.mededportal.org/
publication/9311, https://www.mededportal.org/
publication/9402, https://www.mededportal.org/
publication/9397), and in several publications: Sectish TC.
Pediatrics 2010;126:619-622, Starmer AJ. Pediatrics
2012;129:201-204, and O’Toole JK. J Peds 2013;162:
887-888.
We continue to refine our approach to improving duty
hours within the BCRP and will monitor closely the
impacts to education, patient care and continuity, resident
workflow, patient safety, and work-life balance in the new
inpatient team models. At the BCRP we pride ourselves in
the rigorous approach we take to educational innovations
and systems improvements.
Special Class-wide and Residencywide Educational Events
Intern Orientation
The BCRP features an intensive orientation process with
the specific intention of better preparing interns for the
first day of internship. Besides the traditional information
sessions, we deliver simulation exercises to enhance the
function of interns in their inpatient rotations, and provide
modules and clear guidelines about written
documentation, oral presentations, procedures, the IPASS handoff curriculum, and on-call expectations. We
also orient new interns to the information systems and
have them gain competence in writing orders, viewing
medical information, laboratory results, and images, and
navigating the electronic health record systems.
Retreats
There are two residency-wide retreats held in the fall and
late winter in which we address a variety of topics that are
part of the basic culture or values of the residency
program. In the past, we addressed themes such as
teaching, leadership, feedback, work-life balance, patientcentered care, communication skills, the I-PASS handoff
curriculum, and skills training. It is an opportunity for all
residents to spend a day together to reflect on the topics
and have a welcome break from the day-to-day grind of
residency.
Residents have provided the program with enormous
feedback during these retreats which drives curricular
innovation, renovation and, at times, transformational
change for the BCRP.
Rising Class Orientations
In the late spring, we host class-wide orientation for
Rising Juniors and Rising Seniors, in which we focus on
new aspects of the curriculum, leadership skills, and
personal and professional development.
Flexibility: A BCRP Value
The size of the program affords opportunities for residents
to personalize their training experience. Many residents
have unique educational and career objectives, and the
BCRP makes every effort to adapt the standard schedule
to accommodate these whenever possible.
Here are some of the ways our residents have utilized this
flexibility:
• Attending national meetings related to pediatrics,
pediatric subspecialties, and other areas of interest, and
presenting work at these meetings
• Serving on national committees (AAP, AMA, etc)
• Pursuing international research and clinical experiences
• Taking advantage of unique elective experiences, like
working for the Medical Unit of ABC News
• Participating in one of the ABP-approved research
tracks (Integrated Research Pathway or Accelerated
Research Pathway)
• Taking a year off to pursue other training or research
• Focusing on career-specific or subspecialty experiences
in the senior year
Finally, size allows for flexibility with family issues,
including maternity and paternity leave, leaves for illness
or family emergencies, and occasionally for part-time
schedules (for personal or academic reasons).
Page 34
Rotations: A Year-by-Year
Snapshot
First Year, PL-1
The intern year experiences are intended to foster the
development of a foundation of pediatric knowledge,
along with the practical skills and confidence needed to
work independently and supervise other residents in the
subsequent years of the residency.
Interns take front-line responsibility for the care of patients
in the inpatient wards, ambulatory clinics, and emergency
departments at both BCH and BMC, as well as in the
NICUs at BMC and Brigham and Women's Hospital
(BWH). In these settings, interns learn how to care for
patients with a wide range of pediatric illnesses and
illness acuities. Interns also participate in teaching
medical students from Harvard Medical School and
Boston University School of Medicine.
Building the foundation: Most of the inpatient experiences during the intern year involve covering the pediatric
wards at both BCH and BMC. These teams are geographically based and comprise a mix of general pediatric and
subspecialty patients. Interns also cover the Intermediate
Care Program (a PICU step-down/floor step-up unit at
BCH). Neonatal experiences take place in the newborn
nurseries and NICUs at BMC and BWH. Finally, interns
work in the Emergency Departments of BMC and BCH.
Ambulatory experiences: All residents belong to a
Longitudinal Ambulatory Experience (formerly known as
Continuity Clinic), where they care for their personal
patient population over the course of three years including
occasional work in Urgent Care. In addition to this, interns
participate in a longitudinal Developmental and Behavioral
Pediatric ambulatory experience during Keystone Quarter.
Interns will also have a four week ambulatory experience
in Adolescent Medicine.
Advocacy experiences: All interns participate in 4 total
weeks of formal advocacy training during their Keystone
Quarter. During this time, they gain knowledge of community resources and local and state advocacy programs,
skills in media and legislative advocacy, and broader
understanding of career opportunities in advocacy, public
policy and global health.
Second Year, PL-2
The junior year is when residents get their most concentrated exposure to subspecialty and acute care settings,
accompanied by an increase in decision-making autonomy and responsibility for high-acuity, often critically ill
patients. The junior year also introduces supervisory roles
and affords more opportunities for leadership and
teaching.
Increased acuity, increased autonomy: Juniors are the
only residents on the following BCH subspecialty inpatient
services: GI, Pulmonary, Cardiology, Complex Care,
Oncology, and Stem Cell Transplant. Breadth of
subspecialty experiences is maintained by building in
protected ambulatory experiences into each of these
primarily inpatient subspecialty units.
Juniors also work with increased autonomy caring for
acutely ill patients in the EDs at BMC and BCH, serve as
the main responders to all deliveries requiring a pediatrician at BWH, and cover one of the three main teams in
the Medical-Surgical Intensive Care Unit (MSICU). These
rotations require juniors to build on the clinical skills and
knowledge gained during the intern year, become more
nuanced in their evaluations and differential diagnosis,
and more independent and efficient in patient
management.
Supervisory experiences: Juniors supervise interns in
the BMC Ward and NICU and in the BCH Intermediate
Care Program and Short Stay Unit. They are also fre-
Consulting nuclear medicine
Page 35
quently role models and sources of support for interns in
the EDs at BCH and BMC. Many of our residents love to
teach and lead, and these experiences are highly valued
by juniors as opportunities to participate in shaping the
culture of the BCRP.
Individualized Curriculum: The junior year includes 6
weeks of individualized curriculum and 4 weeks of
elective time,, of which 2 weeks are call-free. Juniors use
this time to personalize their training experience by
pursuing further exposure to pediatric subspecialties,
dedicating time to research or teaching, engaging in
global health experiences, and a myriad of other options.
Some are structured by the residency program and others
are individual and unique.
Expanded UHAT opportunities: In addition to the above
experiences, UHAT residents have a half-day every other
week when they can choose between a second continuity
clinic and a project in urban health, advocacy, global
health or public policy. Those selecting a project are
coupled with a faculty mentor throughout the PL2 and
PL3 years.
Third Year, PL-3
The seniors are the main leaders and teachers for the
residents of the BCRP. The General
Pediatrics supervisory experiences are
highly valued by seniors, allowing them
to integrate the knowledge and skills
acquired in the previous two years,
while taking an active role in promoting
the development of interns and medical
students.
Individualized curriculum: Seniors are
also provided time to focus on
individual and career interests through
the individualized curriculum which
consists of 12 weeks time on the
Senior in typical
Academic
Development Block and four
communication
Senior teaching at the bedside
additional weeks of elective time. The Academic
Development Block is a unique opportunity for senior
residents to spend a sustained amount of time focusing
on research, education, policy or advocacy projects that
fit their clinical interests and future career goals. Our
residents have used this time in an incredible variety of
ways!
Team leadership and education: Senior residents
supervise on the General Pediatric services at BCH and
on the Pediatric Ward and NICU at BMC. Categorical
track residents generally spend more of their supervisory
time at Children's Hospital, while most Urban Health and
Advocacy track residents spend more time at Boston
Medical Center. However, individual preferences for
supervisory experiences are taken into consideration
whenever possible.
Call-free time: All senior residents have approximately 6
weeks of call-free time during the year.
mode
Page 36
Categorical Track
PL-1 Rotation Schedule
Service
Inpatient Day Service (9E/SSU, 7W/
PEAR, BMC Ward)
Inpatient Day
Service (6E/HAIR)
Inpatient Night
Service (9E/SSU,
7W/6E, BMC Ward)
Units
1U = 1 mo
Work 2 wknds
Off 2 wknds
0-1
No overnights,
Work 6 days/wk
0-1
Work 5 nights on night
float, off 2 nights
1-2
Newborn Nursery
0-1
Adolescent
Medicine
Emergency
Medicine
Intermediate Care
Program (ICP)
Community Health
and Advocacy
Vacations
Longitudinal Amb
Experience
Night/Weekend Call
2-4
Neonatal Intensive
Care Unit
Child Development
Urban Health and Advocacy Track
PL-1 Rotation Schedule
1
1
1
0-1
1
Two 2-wk
breaks
---
BWH: 4 nights on night
float. On 1 wknd, off 2
wknds.
BMC: Work long & short
calls with no overnights.
On 2 wknds, off 2 wknds
No overnights. Work 2
wknds. Off 2 wknds
No overnights. Cover day
and evening shifts in ED
4 nights on ICP night
float. Off 3 wknds.
Day and evening shifts
Work 2 wknds
Off 2 wknds
No overnights. Cover day
and evening shifts in ED
--One afternoon/wk on
average
Service
Inpatient Day Service (9E/SSU, 7W/
PEAR, BMC Ward)
Inpatient Day
Service (6E/HAIR)
Inpatient Night
Service (9E/SSU,
7W/6E, BMC Ward)
Units
1U = 1 mo
2-4
Work 2 wknds
Off 2 wknds
0-1
No overnights,
Work 6 days/wk
0-1
Work 5 nights on night
float, off 2 nights
Neonatal Intensive
Care Unit
1-2
Newborn Nursery
0-1
Child Development
Adolescent
Medicine
Emergency
Medicine
Intermediate Care
Program (ICP)
Community Health
and Advocacy
Vacations
Longitudinal Amb
Experience
Night/Weekend Call
1
1
1
0-1
1
Two 2-wk
breaks
---
BWH: 4 nights on night
float. On 1 wknd, off 2
wknds.
BMC: Work long & short
calls with no overnights.
On 2 wknds, off 2 wknds
No overnights. Work 2
wknds. Off 2 wknds
No overnights. Cover day
end evening shifts in ED
4 nights on ICP night
float. Off 3 wknds.
Day and evening shifts
Work 2 wknds
Off 2 wknds
No overnights. Cover day
and evening shifts in ED
--One afternoon/wk on
average
Page 37
Categorical Track
PL-2 Rotation Schedule
Service
Supervisory
Experience:
(SSU, BMC Ward,
BMC NICU. ICP,
6E/HAIR)
Urban Health and Advocacy Track
PL-2 Rotation Schedule
Units
Night/Weekend Call
1U = 1 mo
1-2
Service
SSU/Ward: 2 Friday
calls, 2 Sunday day
shifts
NICU: Every 4th night
ICP: Every 4th night
6E/HAIR: No
overnights. On 2
wknds, off 2 wknds.
Supervisory
Experience:
(SSU, BMC Ward,
BMC NICU. ICP,
6E/HAIR)
Every 4th night (1 callfree week on GI, Pulm
& Cardiology rotations)
Inpatient Wards (GI,
Pulmonary, CCS,
Cardiology)
1.5-3.5
1-2
Every 4th night
0.5-1
Every 4th night
1-2
Every 4th night
Inpatient Wards (GI,
Pulmonary, CCS,
Cardiology)
1.5-3.5
Medical-Surgical
Intensive Care Unit
1-2
Every 4th night
Medical-Surgical
Intensive Care Unit
0.5-1
Every 4th night
BWH Delivery
Room (DR-1)
1-2
Every 4th night
Oncology
Day and overnight
shifts
Emergency
Medicine
8 wks every 4th night
call. 2 weeks call-free
Individualized
Learning Time
BWH Delivery
Room (DR-1)
Oncology
Emergency
Medicine
Individualized
Learning Time
Vacations
Longitudinal Amb
Experience
1.5-2.5
2-2.5
Two 2-wk
breaks
Units
Night/Weekend Call
1U = 1 mo
--1 afternoon/wk on
average
Vacations
Longitudinal Amb
Experience, 2nd
clinic or project
1-2
1.5-2.5
2-2.5
Two 2-wk
breaks
SSU/Ward: 2 Friday
calls, 2 Sunday day
shifts
NICU: Every 4th night
ICP: Every 4th night
6E/HAIR: No
overnights. On 2
wknds, off 2 wknds.
Every 4th night (1 callfree week on GI, Pulm
& Cardiology rotations)
Day and overnight
shifts
8 wks every 4th night
call. 2 weeks call-free
--1.5 afternoons/wk on
average
Page 38
Categorical Track
PL-3 Rotation Schedule
Service
Units
Night/Weekend Call
1U = 1 mo
Inpatient Supervisory Experience Days (9E, 7W, BMC
Wards)
1-3
Inpatient
Supervisory
Experience - Nights
2 half
units
Critical Care (BCH
MICU, BMC PICU)
1-2
Electives
Urban Health and Advocacy Track
PL-3 Rotation Schedule
3.5
Inpatient Supervisory Experience Days (9E, 7W, BMC
Wards)
1-2
Night Float - 5 nights
on, 2 nights off per wk
Inpatient
Supervisory
Experience - Nights
2 half
units
Every 4th night
Critical Care (BCH
MICU, BMC PICU)
1-2
6 weeks call-free, 8
weeks cross coverage
(wknd coverage or
every 4th night call)
6 wks call-free, 8 wks
cross coverage (wknd
coverage or every
night call)
2
Emergency
Medicine
1
Day and evening shifts
3
2 months: Every 4th
night
1 month: 3 Saturday
calls (Gen Peds crosscover)
Two 2-wk
breaks
---
Vacations
Longitudinal Amb
Experience
Units
Night/Weekend Call
1U = 1 mo
Two Friday calls, 2
Sunday day shifts
Individualized
Learning Time
Academic Development Block (ADB)
Service
1 afternoon/wk on
average
Electives
3.5
Two Friday calls, 2
Sunday day shifts
Night Float - 5 nights
on, 2 nights off per wk
Every 4th night
6 weeks call-free, 8
weeks cross coverage
(wknd coverage or
every 4th night call)
6 wks call-free, 8 wks
cross coverage (wknd
coverage or every
night call)
Individualized
Learning Time
2
Emergency
Medicine
1
Day and evening shifts
3
2 months: Every 4th
night
1 month: 3 Saturday
calls (Gen Peds crosscover)
Two 2-wk
breaks
---
Academic Development Block (ADB)
Vacations
Longitudinal Amb
Experience, 2nd
clinic or project
1.5 afternoons/wk on
average
Page 39
Rotation Descriptions
Keystone Quarter
The Keystone Quarter is a new rotation in 2013 formed
with the goal of unifying ambulatory experiences during
the intern year. This rotation was the result of combined
efforts of residents, faculty, and program leadership as
part of the Residency Program Training Committee’s
overall re-design of the BCRP curriculum. The block
consists of 12 weeks of integrated Adolescent, Child
Development, Advocacy, Primary Care and Emergency
Department experiences. For interested interns a
longitudinal subspecialty experience is available during
the Keystone Quarter. A didactic lecture series
compliments residents’ outpatient clinic time and focuses
on relevant topics ranging from clinical cases to advocacy
issues. During the Keystone Quarter, residents will
manage pediatric medical problems over time, learn to
navigate care delivery systems, and hone skills in the
delivery of comprehensive medical care. Aspects of the
individual components that comprise the Keystone
Quarter are discussed below.
Keystone Quarter — Adolescent Medicine
A joint venture between the outpatient adolescent centers
at Children's Hospital and Boston Medical Center, the
adolescent medicine rotation provides a solid foundation
in the primary and specialty care of teenagers. Interns
hone their skills in routine health maintenance for male
and female patients, family planning, gynecologic care,
and STD testing and treatment. Interns also gain skills in
screening for substance abuse and responding
appropriately to positive screens. During this month,
interns are scheduled to see their own panel of
adolescents, precepted by adolescent medicine
attendings. Specialty clinic experiences such as sports
medicine, scoliosis, reproductive health and dermatology
are incorporated into the Resident’s daily practice.
Additional experiences to increase understanding of the
scope of healthcare for adolescents include: visiting a
school-based health center (September-June) and a field
trip with an attending to a residential treatment school for
emotionally disturbed teenage girls. This rotation has
developed a comprehensive didactic curriculum focused
on a variety of adolescent issues as well as effective
implementation of evidence-based medicine. This
includes development of a Critically Appraised Topic in
adolescent medicine.
Keystone Quarter — Child Development
Child Development is a joint rotation between Children’s
Hospital and Boston Medical Center (BMC). The rotation
is designed to provide residents with a rigorous
foundation in normal and abnormal infant and child
development. Interns and Med-Peds PL-2 residents gain
exposure to multi-disciplinary clinical programs providing
assessment and follow-up for infants, children, and
adolescents with
developmental,
behavioral and/or
learning problems.
Residents participate in
testing with
developmentalbehavioral pediatricians,
psychologists and
educational specialists.
Given its prevalence
and social impact, there
is a special focus on
autism.
Nonclinical experiences in child development provide
wonderful adjunct opportunities and more complete
appreciation for this important discipline. Residents
participate in Early Intervention home encounters, visit the
Children's Hospital Childcare Center, and observe in
classrooms, including special education settings and an
elementary school in the Boston Public School system.
Some also attend special education evaluation meetings
and special school events. Also, one morning a month,
each intern attends the Comprehensive Care Program, a
multidisciplinary primary care outpatient clinic for children
with complex medical problems, including children with
significant developmental delays, mental retardation,
seizure disorders, autism, and former premature infants.
Didactics at both BMC and BCH within the framework of
the Keystone Quarter augment the clinical experiences of
this rotation and include topics such as developmental
screening and surveillance in primary care, special
education evaluations and services, mental health
screening, failure to thrive, discipline, the child's
experience of grieving and loss, and the child's
experience of interpersonal violence.
Keystone Quarter – Emergency Medicine
BCRP interns rotate through the Boston Children’s
Hospital and Boston Medical Center Emergency
Departments during the Keystone Quarter. During this
block, learn principles of pediatric emergency medicine
and the role of the emergency department in the health
Page 40
care delivery system. Didactic lectures focus on pediatric
emergency medicine core topics, epidemiologic, economic and advocacy issues. Descriptions of the two sites
and resident learning objectives are described below.
Cardiology
BCRP junior residents spend one
month as part of the inpatient
cardiology team at Boston
Children’s Hospital. The service is
comprised of 4 residents, two first
or second year cardiology fellows,
two cardiology attendings, two
nurse practitioners, up to 3
medical students, and an
administrative medical teams
associate. Each intern has primary
responsibility for the evaluation
and management of patients with a
wide range of congenital and
acquired pediatric heart diseases, under the supervision
of the cardiology attendings and fellows. Each resident
rotating primarily on the cardiology service spends five
days in the outpatient clinic evaluating common and
uncommon problems encountered in an academic
cardiology practice. Daily didactic sessions presented by
faculty cardiologists and geared exclusively to residents
and medical students focus on core topics in pediatric
cardiology from EKG reading and understanding cardiac
catheterization data to care of patients with complex
congenital heart disease.
Complex Care Service (CCS)
Due to the increasing number of children with complex
health care needs, Children’s Hospital has created an
inpatient team and an outpatient clinic solely dedicated to
the care of these children and their families. These
patients have medical problems involving a minimum of 3
organ systems and often participate in cooperative
multidisciplinary programs at Children’s Hospital such as
the Myelodysplasia Program, the Cerebral Palsy Program
and others. During the junior year, residents rotate for 1 or
2 two week blocks on the inpatient CCS service
comprised of 2 residents, a nurse practitioner, a clinical
nurse specialist, a CCS social worker and a CCS
attending. Patients may be hospitalized for acute medical
problems such as aspiration pneumonia or feeding
intolerance, or they may be admitted for intensive
management of more chronic issues, such as progressive
weight loss or poorly controlled seizures. The service has
an average daily census of 12-13 patients, most of whom
require multiple medications and a range of assistive
technologies. Residents gain proficiency in assessing
medication interactions and are exposed to a wide variety
of medical devices including gastrostomy and
jejunostomy tubes, tracheostomy tubes, urinary stomas,
ventriculoperitoneal shunts, and Baclofen pumps.
Because many patients need input from multiple
subspecialty teams, residents learn to synthesize
consultant recommendations to deliver optimal care. A
didactic lecture series provides education on the common
problems that arise in children with complex medical
disorders.
Emergency Medicine
In all three years of the
training program, residents
are exposed to emergency/
acute illness experiences at
both Boston Medical Center
and Boston Children’s
Hospital. Both emergency
departments are access
points for Emergency
Medical Services (EMS)
transports and ambulance
traffic, and receive seriously
injured and acutely ill
pediatric patients.
Dr Fleisher (right) on one
of his shifts in the ED
Boston Medical Center is a busy Level 1 Trauma Center.
The Pediatric Emergency Department (ED) provides 24
hour attending coverage by pediatric emergency-trained
physicians, emergency medicine physicians, and 3rd year
pediatric emergency medicine fellows. The BMC Pediatric
ED treats approximately 30,000 patients a year, ranging in
age from newborn to 21 years old. It receives more
patients by EMS than any other pediatric facility in
Boston. It has 12 fully equipped rooms for non-acute care,
an acute care/observation area with 4 beds, and a trauma/
resuscitation suite.
ER patient checking Physician-in-Chief
Gary Fleisher for dextrocardia
Page 41
The Emergency Dept at
Boston Children’s Hospital is
also a Level 1 Trauma Center
and provides 24 hour
attending coverage by
pediatric emergency-trained
physicians and by 3rd year
pediatric emergency medicine
fellows. The Children’s ED
sees more than 60,000 ill and
injured children per year and
has one of the premier
fellowships in pediatric
emergency medicine.
Successful knee tap for
Lyme arthritis in the ER
Resident responsibilities in both Emergency Departments
include:
• Evaluation, management and disposition of patients.
• Consultation and communication with other services
and consultants.
• Discussion of cases with primary care and referring
physicians.
• Performance of procedures (e.g., venipuncture, arterial
puncture, spinal tap, laceration repair, abscess incision
and drainage, foreign body removal, splinting, bagmask ventilation).
Regular conferences occur at both Boston Medical Center
and Children's Hospital, including didactic lectures, mock
codes, hands-on practical workshops, and simulations.
gastrointestinal disorders, and introduction to endoscopy
and other procedures unique to this specialty. All
residents attend a didactic series that includes a weekly
fellow-run seminar and 10 to 12 mini-lectures on basic
subjects including gastroesophageal reflux disease,
constipation, malabsorption, the pathogenesis of diarrhea,
the diagnosis and treatment of inflammatory bowel
disease, nutritional assessment, total parenteral nutrition,
the approach to abdominal pain, neonatal cholestasis,
and the evaluation of liver disease.
On the inpatient service, two residents, a first year fellow,
a nurse practitioner, and a gastroenterology attending
manage an average census of nine patients (range 5-20
patients) with a variety of severe gastrointestinal illnesses.
Built into each month-long rotation is a 10 day, call-free
outpatient block, during which residents attend clinic
three mornings a week and observe endoscopic
procedures on the other two mornings.
General Pediatric Inpatient Services
Every intern has at least three months of general inpatient
experience. Inpatient teams at Children’s Hospital are
typically unit-based, allowing closer relationships with
nurses, more contact with families, and less time spent
commuting between floors. During the junior and senior
years, residents assume a supervisory role in the care of
general pediatrics patients. Supervising residents are
team leaders and provide much of the bedside teaching
Residents having fun during a mock mock code
Gastroenterology
Three junior residents rotate through the gastroenterology
service at Children's Hospital each month. The rotation
incorporates both inpatient and outpatient experiences to
maximize resident exposure to the full spectrum of
gastroenterology care. The goals of this rotation include
assessment of patients with gastrointestinal complaints,
the diagnosis and management of common
Team Rounds
Page 42
• Boston Medical Center Inpatient Wards: 1 senior
resident, 1 junior resident, 3 pediatric interns, one family
medicine intern, and 3-4 medical students.
The General Pediatrics teams at Boston Children’s
Hospital care for patients with a wide variety of general
pediatric problems as well as a varying number of
subspecialty patients from: adolescent medicine, allergy/
immunology, endocrinology, hematology, infectious
diseases, metabolism, nephrology, pulmonology,
rheumatology and toxicology. The Short Stay Unit cares
for patients with acute, common and less complex
pediatric illnesses that generally require only a brief
hospitalization.
Gen Peds team having lunch together in the
Prouty Garden on a nice day
to the interns and medical students. Beginning in July
2011, inpatient ward teams were formally designated into
“day” and “night” teams.
Organization of the general inpatient services:
• Boston Children's Hospital 9 East and Short Stay
teams: 1 senior resident (Gen Peds), 1 junior resident
(Short Stay), 4 interns, and up to 4 medical students
• Boston Children’s Hospital 7 West (PEAR team –
Pulmonary, Endocrinology, Adolescent, Renal): 2 senior
residents, 4 interns, a nurse practitioner, and up to 4
medical students
• Boston Children’s Hospital 6 East (HAIR team –
Hematology, Allergy, Immunology, Rheumatology): 2
junior residents, 1 intern, and up to 2 medical students
Dr. Vinci’s waffle rounds on the BMC Wards
The inpatient ward at Boston Medical Center is a 36-bed
unit. The pediatric ward team cares for general pediatrics
patients and patients from subspecialty services,
including endocrinology, gastroenterology, hematology,
infectious diseases, neurology, and pulmonology.
Intensive Care Unit
Residents gain experience in Critical Care Medicine during
both the PL-2 and PL-3 years. All PL-2 residents
complete a four week rotation in the 30-bed MedicalSurgical Intensive Care Unit (MSICU) at Children's
Hospital. In the PL-3 year senior residents rotate as the
sole resident in the 6-bed pediatric ICU (PICU) at Boston
Medical Center and in the 12-bed Medical ICU (MICU) at
Children’s Hospital.
In the Children’s MSICU,
junior residents serve as
primary providers for
medical and select
surgical patients and
participate in daily rounds
and family meetings. They
attend morning conference
four mornings per week for
45 minutes as part of a
comprehensive didactic
curriculum that includes
formal mock code
Practicing procedures
sessions delivered in the
sophisticated simulator
suite. Attendings conduct formal debriefings after mock
codes using video footage to enhance feedback. There
are also weekly sessions focused on procedures and
emergency scenarios, with the assistance of simulation.
Most senior residents also have at least one ICU
experience in either the BCH MICU or BMC PICU. During
these rotations, the senior resident works directly with the
supervising critical care attending or fellow. These
experiences help residents develop crucial decisionmaking skills. Building on concepts introduced in the PL-2
Page 43
year, residents gain proficiency in the management of
severe status asthmaticus, mechanically ventilated
patients, hemodynamically unstable patients, poisoned
patients, and patients in status epilepticus. Residents also
participate in advanced vascular access, airway
management, and delivery of emergency medications.
Faculty didactics complement the experiential learning on
each unit.
Place Newborn Care Service at Boston Medical Center.
Interns are responsible for the evaluation and
management of healthy newborns with the help of nurses
and lactation specialists, and under the guidance of an
attending pediatrician. Interns also attend didactic
lectures, discussion sessions and demonstrations that
focus on care of the newborn.
Intermediate Care Program (ICP)
Interns and residents rotate through the NICU at Brigham
and Women's Hospital (BWH) and Boston Medical Center
(BMC). The BWH NICU is a 48-bed unit divided into two
16-bed acute care pods, and two 16-bed intermediate
care pods. At the BWH NICU,
two interns are divided into
two teams, with the interns
assigned to each team
responsible for the patients in
one of the acute care pods
and one of the intermediate
care pods. The acute care
interns are supervised by an
attending neonatologist and
fellow. The transitional pod
intern manages common
newborn problems in the
triage area of the NICU
supervised by the PL2 delivery
NICU duty
room resident. The NICU
rotation at Boston Medical Center is comprised of a 15bed NICU and a 6-bed intermediate care NICU. The BMC
NICU team consists of an attending neonatologist, one
senior resident, one junior resident and two interns.
The ICP is a 10-bed unit that cares for patients who are
require more intensive nursing than can be provided on
the floors. Commonly encountered disorders include
diabetic ketoacidosis, severe status asthmaticus, complex
medical patients requiring intensive respiratory monitoring
or noninvasive ventilation, and significant electrolyte
abnormalities (such as diabetes insipidus) requiring close
monitoring and frequent blood analyses.
The ICP team is composed of an attending, one junior
resident, two interns and a nurse practitioner. Interns
assume primary responsibility for patient care, while the
junior resident serves as the team leader. The nursing staff
(who care for 1-2 patients each) and dedicated respiratory
therapist participate actively in morning and night rounds.
An interdisciplinary approach is emphasized. Given the
intimate structure of the team and the higher acuity on the
unit, many formal and informal teaching opportunities
arise. Daily didactics focus on topics such as
management of DKA, airway obstruction and respiratory
compromise.
PL1 and Supervisory Years: Neonatal ICU
Besides caring for critically ill neonates, residents obtain
extensive experience in the resuscitation and stabilization
of newborns at high-risk deliveries. At both sites neonatal
attendings are on site 24 hours per day to provide
supervision and teaching. Residents participate in a
comprehensive educational curriculum including daily
lectures by attending neonatologists covering common
neonatal problems, such as respiratory distress syndrome,
necrotizing enterocolitis, hyperbilirubinemia, and nutrition.
All residents are trained in the Neonatal Resuscitation
Program during intern orientation and then re-certify
during their PL-2 year.
Juniors serve as Team Leaders in the ICP
Newborn Care: Neonatal Intensive Care Unit,
Newborn Nursery and Delivery Room
PL-1 year: Newborn Nursery
Interns rotate on either the well newborn hospitalist
service at Brigham and Women’s Hospital or the Birth
During the junior year residents rotate through the BWH
NICU as the “DR1” delivery room resident — the first call
to all deliveries requiring a pediatrician. The resident is
responsible for attending deliveries with a NICU nurse and
respiratory therapist, supervising an intern, triaging
newborns in the delivery room and well baby nursery, and
supervising the care of late-preterm and stabilized infants
in one of the intermediate care pods in the NICU. In the
Page 44
BMC NICU, junior residents assume a supervisory role on
the NICU team during the day, overseeing the interns on
rounds and at deliveries. At night, the junior resident
covers the NICU primarily, with supervision by an on-site
neonatologist.
Residents in both years recruit newborns from their
newborn rotations to their continuity patient panels.
Oncology
Inpatient oncology care at Boston Children’s is delivered
by disease-specific teams: the hematologic malignancy
team, the solid tumor team, and the neuro-oncology team.
Each disease-specific team is directed by an oncologist,
often in conjunction with an oncology fellow. Four junior
residents care for patients on the hematologic malignancy
and solid tumor teams, providing overnight care for the
neuro-oncology patients. Residents care for patients with
new cancer diagnoses, complications of malignancy or
cancer-directed therapies (including febrile neutropenia),
relapsed malignancy, and concurrent medical problems.
Residents work side-by-side with two nurse practitioners
who have significant expertise in pediatric oncology.
Goals of the rotation include: understanding common
presentations of childhood cancer, management of
oncologic emergencies, effective communication with
families, management of febrile neutropenia, and
identification and management of common complications
of chemotherapy. The rotation also allows residents to
gain an understanding of issues related to end-of-life care
in a pediatric population. This rotation is augmented by
didactic teaching sessions by oncology fellows and
attendings, tumor boards and an outpatient experience in
the Jimmy Fund Oncology Clinic at the Dana Farber
Cancer Institute.
Pulmonary
Residents spend one month of the PL-2 year on the
Pulmonary service. The month builds on the foundational
experience during the PL-1 year caring for patients on the
Pulmonary subspecialty service. The inpatient Pulmonary
team consists of three junior residents, a pulmonary
fellow, a nurse practitioner with expertise in the care of
pediatric pulmonary patients, and an attending.
Residents are primarily responsible for pulmonary patients
with a wide range of conditions including complicated
asthma, interstitial lung disease, pulmonary hypertension,
cystic fibrosis, as well as issues surrounding lung
transplantation. Pulmonary fellows and attendings teach
a morning curriculum Monday through Friday. Residents
spend a week of the month in the outpatient pulmonary
clinic evaluating and managing new patients. Afternoons
during this week are spent in the PFT lab, performing
consults, or participating in procedures such as sweat
tests and bronchoscopies
Practicing on Asthma Day
Electives
Halloween on the Oncology Service
In addition to the six months of Individualized Curriculum
each resident will have 8 additional weeks of elective time
distributed between their PL-junior2 and PL-3 years.
Approximately six week of this elective time will be call
free. All pediatric residents must complete 7 months of
subspecialty experiences. Because the BCRP curriculum
incorporates several months of subspecialty experiences,
residents may pursue a broad array of clinical and
research interests during their electives, including
rotations in complementary fields such as anesthesia,
toxicology, transport medicine, international medicine, or
surgery.
Page 45
Post call dessert
Night Call and Night Float Teams
Patients admitted to each of the general pediatrics
services at Boston Children’s and BMC receive care at
night from a dedicated "night team" consisting of an
intern and supervising resident. Each "night team" rotation
lasts two weeks, affording the team continuity of care and
consistency between the intern and the supervising
resident. On average, interns have two 2-week "night
team" rotations on a general pediatric service over the
course of the year. On-call rooms and meal allowances
are provided for house officers on night duty.
Extended Shifts
For junior and senior year rotations that do not employ
"night teams", residents take in-hospital call every 4th
night. To minimize fatigue, on call residents in the Medical/
Surgical ICU and Brigham NICU (“DR1”) start their call
day at noon. On-call rooms and meal allowances are
provided for house officers on call at all three hospitals. All
rotations in the BCRP are in full compliance with the
ACGME work hour regulations.
Longitudinal Ambulatory
Experiences
Primary Care Experience
The continuity program provides a special experience for
residents to foster the physical, intellectual and emotional
growth of children, as well as to observe and manage the
course of certain diseases and therapies over an
extended period of time. Each resident carries a panel of
patients specially designed to ensure broad exposure to
multiple age groups and diverse medical problems.
Continuity sites are available in both hospital and
community settings. In addition to typical primary care
Residents become close to their clinic families
clinic experiences, there are a number of other clinic
opportunities including primarily Spanish speaking clinics
at Martha Elliot Health Center and East Boston Health
Care Center, a young parent continuity clinic at Children’s
Hospital, as well as several other multicultural,
community-based health clinics.
Residents in the Categorical track devote one afternoon
each week throughout the three years to their continuity
practice. Residents are relieved of other clinical
responsibilities during their scheduled continuity clinic
time. Residents’ clinics are rescheduled for an alternate
day when the resident is unavailable for their regular clinic
day.
In the first year, Urban Health and Advocacy track (UHAT)
residents spend one-half day each week in their continuity
sites. Beginning with the PL-2 year, UHAT residents select
an additional half-day experience to augment their training
and often choose a second continuity clinic.
Academic Innovations Collaborative
Children’s Hospital Primary Care Center (CHPCC) and
Martha Eliot Health Center (MEHC) are two of the
continuity sites available to residents. Both are engaged in
a patient-centered primary care redesign effort through
the Academic Innovations Collaborative (AIC), established
by the Harvard Medical School Center for Primary Care.
The AIC was created to foster rapid transformations in
care delivery and education within Harvard-affiliated
primary care teaching practices and BCRP residents are
active participants. CHPCC and MEHC’s redesign is focused on four major
transformation areas: multidisciplinary patient care teams,
population management, complex disease management,
and patient empowerment. Some of the major changes to
be rolled out over the two years of the collaborative
include the creation of primary care teams, development
Page 46
and use of patient registries to facilitate population and
complex care management, and the implementation of
new technology, including clinical decision support and
discharge and care plan summaries.
A chief goal of the AIC is to involve our residents in
redesign activities. The resident education curriculum will
be rewritten to include topics related to team-based care
delivery and population management; residents are
integrated into the care teams, attending team huddles
and included in team communication regarding patient
issues; and residents’ input is solicited through surveys
and informal feedback sessions.
Longitudinal Subspecialty Experience
The BCRP is invested in developing a longitudinal
subspecialty experience whereby residents can achieve
early and sustained exposure to outpatient subspecialty
medicine. The BCRP is currently piloting this experience
for all three residency classes.
During the PL-1 and PL-2 years, a select number of
residents will participate in a subspecialty clinic in addition
to their primary care continuity clinic. They will be relieved
of their other clinical responsibilities once per month to
attend the subspecialty clinic of their choosing. During
the PL-3 year, residents may choose to participate in a
longitudinal subspecialty clinic in place of their primary
care clinic.
Electives
Many different elective opportunities are available at both
Children's Hospital and the Boston Medical Center,
including experiences in clinical care, research, medical
education, clinical outcomes and advocacy. In addition,
residents can select a variety of international experiences.
Funding is available through various scholarships
including the Von L. Meyer and Schliesman awards.
Additionally, the Department of Medicine at Children’s
Hospital and the Department of Pediatrics at Boston
Medical Center award scholarships for travel to national
meetings such as the American Academy of Pediatrics or
Pediatric Academic Societies, and the meetings of
subspecialty societies. In addition, funding is available
from the Fred Lovejoy Research and Education Fund and
the Joel Alpert Fund, for research projects conducted
during residency, and from the Alpert Children of the City
endowment for community-based research projects.
Elective in Kenya. Sometimes hoofbeats are zebras
Funding sources:
Number
per year
Amount per
award
Schliesman Third World
Travel Award
6 to 8
$750-$1,500
Von L Meyer Travel Award
10 to 12
$750-$1,000
Lovejoy Research Award
5 to 8
$2,000-$6,000
Alpert Children of the City
Endowment Grants
2 to 3
$2,000-$8,000
Name
Paid travel to 1 meeting in No limit
senior yr
$500
Paid travel to meeting if
presenting (any year)
$1,000
No limit
Individualized Curriculum
Each resident will have six months of an Individualized
Curriculum consisting of three months of the Academic
Development Block and three months of other rotations
relevant to his or her future career. The six months are
distributed as follows:
PL-1 Year: 0.5 months
PL-2 Year: 1.5 months
PL-3 Year: 4 months (includes 3 months of ADB time)
Mentoring and Individualized Curriculum
The BCRP Academies provide groups of faculty members
who have demonstrated an interest in being mentors and
advisors for residents within the Academies.
Page 47
Academic Development Block
The BCRP curriculum contains an innovative element for
all PL-3 residents called the Academic Development
Block (ADB). This 3-month rotation is unique to the BCRP
and is designed to allow residents to customize their
training to attain the skills, experience and knowledge
necessary to further their careers. The ADB contains a
core seminar curriculum and allows dedicated time for
individualized mentored research, education, quality
improvement or advocacy projects.
The core curriculum, delivered in a three-hour morning
session once a week, is designed to enhance and
augment the knowledge gained during the first two years,
and is directed towards lifelong learning and skills,
including critically appraising the medical literature and
understanding health care for children in the context of
local, state and federal policies. It focuses on the
following specific skills:
• Creating and applying new knowledge — research
study design, biostatistics, epidemiology, evidencebased medicine, literature searching and human
subjects considerations for children.
• Health care policy and environment — health care
disparities, economics and funding, delivery systems,
and resource allocation.
• Molecular Medicine — future “hot” areas of basic
science research, including genetics and genomics as
they are likely to affect clinical care.
• Organization and quality of care — quality
improvement, patient safety, and legal issues in the
practice of medicine.
These sessions are led by expert faculty from both
institutions and include basic and clinical researchers with
interests in translational medicine, clinical and outcomes
research, public policy and advocacy.
The second, and major, component of the block is
protected time for residents to focus on research projects,
medical education projects, community advocacy
experiences, and/or more in-depth exposure to clinical
experiences. Residents meet individually with faculty
mentors two or more months before the start of ADB to
design their projects. Senior residents have used their
ADB time in a wide variety of ways to explore career
alternatives, either to start or complete a primary research
project, or undertake a project that will round out their
own training (and often contributes to the training of other
residents). The diversity of ADB activities reflects the
diversity of interests and career paths of our residents.
Over the past five years, approximately the results from
half of the projects have been presented at national
meetings and/or culminated in a peer-reviewed publication (Vinci RJ et al. Pediatrics 2009; 124:1126-1134).
Examples of Recent Projects
• Investigation of yield of lumbar puncture for meningitis
following status epilepticus
• Weight perception and unhealthy weight control
behaviors among gay, lesbian and bisexual youth
• Examination of fatty acid binding protein 4 expression
in lymphatic malformations
• Retrospective study of risk factors for fatal and nonfatal pediatric firearm injuries in the United States
• Study of vaccine coverage and parental attitudes on
immunization in India
• Retrospective clinical review combined with blinded
bone marrow re-review to define clinical predictors
of failure for patients with aplastic anemia treated with
immunosuppressive therapy
• Investigation of seroconversion rates following double
dose hepatitis B vaccine among HIV-infected children
and adolescents
• Review of colonoscopies to determine agreement
between endoscopic assessment of mucosal findings
and pathologic findings on biopsy
• Genomics/proteomics approach to characterized
differences between adults with acute myelogenous
leukemia
• Summary of common practices in diagnosis and
treatment of malaria in Nigeria
• Examination of methylenetetrahydrofolate
dehydrogenase 2 as a target for treatment in acute
myelogenous leukemia
• Chart review on aortic regurgitation after interventions
for aortic stenosis in staged palliation of hypoplastic left
heart syndrome
• Discovery and validation of role of mobile genetic
elements in malignant rhabdoid tumors
• Evaluation of a sign out system and intervention aimed
at improving pass off of care among residents
• Educational trial examining different methods of
teaching simulation and development of longitudinal
residency simulation curriculum
• Completion of a study of procalcitonin as a test for
serious bacterial infection among febrile infants
• Investigation of blood product exposure and clinical
outcomes in PICU patients requiring ECMO
• Development of a pediatric training curriculum in Liberia
• Multi-center prospective clinical trial examining vitamin
D levels and clinical factors related to children
hospitalized with bronchiolitis
• Impact of hydroxyurea on emergency department visits
in patients with sickle cell disease
• Study of long-term pulmonary artery stenosis after
repair of aberrant pulmonary artery in infancy
Page 48
• Impact of cranial radiation on growth hormone and
parathyroid hormone abnormalities.
• Prognosis following lung transplantation
• Prospective multi-center study of bronchiolitis
admissions
• Health needs of orphaned children in Malawi
• Predictors of CSF pleocytosis in febrile infants
• Ultrasound evaluation of flow-related arterial dilatation
in HIV infected children
• Use of noninvasive end-tidal CO2 monitoring in asthma
and bronchiolitis
commitment to case-based teaching, residents supervise
medical student patient encounters all the way from the
initial history through the presentation on rounds.
Educational Opportunities
Education
Below are brief descriptions of the daily educational
opportunities that have been built into the residency. This
collection of case presentations, conferences and lectures
work in conjunction to augment the learning that occurs
organically through patient care. While this list is relatively
comprehensive it is certainly not exhaustive and residents
can always avail themselves of the multiple educational
opportunities within Harvard, Boston University and the
city of Boston
Education First
Conferences
Education is a priority in the BCRP. From Grand Rounds
by world-renowned specialists to impromptu overnight
clinical instruction, teaching and learning permeate all
aspects of residents’ daily lives. At both BMC and BCH,
there are daily protected teaching rounds and noon
conferences that foster discussion and debate between
residents and faculty. Through Family Centered Work
Rounds, residents benefit by learning directly from senior
faculty, fellow residents, and their patients at the bedside.
Through the Residency Program Training Committee,
resident feedback is a driving force behind changes in the
curriculum—which is evolving to meet the educational
needs of the residents.
BCH General Pediatrics Teaching Conferences
Residents are also given the opportunity to learn to teach
right from the start, cultivating their skills as teachers and
reinforcing their own knowledge through the art of
teaching. Our Harvard and Boston University medical
students consistently identify residents as one of the most
important sources of instruction. As part of our
This daily conference is aimed at all interns on inpatient,
non-subspecialty pediatrics rotations with a revolving
schedule of topics, to ensure exposure to a wide breadth
of content over the year. These daily conferences are held
in the afternoon in recognition of how busy mornings are.
The conference time is protected so that learning can
occur uninterrupted and is given in a fully interactive,
small group format led by expert attending physicians and
chief residents. The curriculum has been developed to
provide the resident with a nuanced understanding of the
pathophysiology and management of the common
diseases, hone basic skills, emergency skills including
airway management, seizure management and the triage
of a sick patient, and finally, offer a place for interns to ask
questions they encounter in their first year as a general
pediatrician.
Dr. Sectish attending and teaching on Gen Peds
Residents work closely with senior faculty
BMC Noon Conferences
Noon report at BMC occurs daily from Tuesday to
Thursday, highlighting interesting cases and teaching
topics from the wards, emergency department, NICU or
Page 49
discussion. Priorities include developing generalizable
lessons from unusual cases as well as the features that
distinguish the case from the typical. Faculty from
different specialties attend on different days, and are
invited at the beginning of the year by the senior residents
(considered a true honor by faculty).
Core Conferences
Senior rounds is a very popular daily case conference
PICU as well as patients encountered in international
settings. A focus on differential diagnosis, management
and treatment are discussed in a setting where residents
can draw from the experiences and knowledge of the
many senior faculty members who attend. All residents
are invited and encouraged to attend. On Mondays,
interns at BMC attend Intern Report, a case-based
conference moderated by a Chief Resident, while junior
and senior residents attend the Leadership Series, aimed
at developing supervisory skills in the clinical setting. On
Fridays, residents at BMC rotate through the Mock Code
and Evidence-Based Medicine in Pediatrics curricula. At
BCH, Fridays are dedicated to Mini-Grand Rounds and
Morbidity and Mortality conferences.
This is a lunchtime seminar series focused on general
pediatrics that is offered to all residents at both Children’s
Hospital and the Boston Medical Center. The sessions
emphasize the principles of general pediatrics and are
given by the relevant experts at each institution. There is
an overarching curriculum that spans the entire year and
covers all of the pediatric specialties. A fantastic lunch is
provided at both institutions for these conferences.
Primary Care Seminar
Primary Care Seminar occurs once a month for Urban
Senior Rounds
This daily conference is perennially one of the highest
rated educational experiences at the BCRP. A chief or
senior resident is charged with presenting a recently
admitted patient with an unusual or unknown diagnosis. A
discussion between the residents and senior faculty
follows, with a focus on differential diagnosis,
management and prognosis as well as nuances in the
individual case which frequently prompt significant
Intern Rounds. Better like pizza in this program
Health and Advocacy track (UHAT) residents in the PL-2
and PL-3 years. These residents have coverage from their
primary service responsibilities to spend the afternoon
together with faculty at BMC. The curriculum is planned
by residents, and includes topics such as a monthly
journal club, behavioral pediatrics, primary care
orthopedic and splinting workshops, ophthalmology and
otolaryngology skills sessions and many others.
Intern Rounds and Junior Rounds
There are dedicated, separate weekly noon conferences
for interns and juniors at BCH that focus on case-based
learning and are moderated by a chief resident. Emphasis
is placed on general pediatrics clinical decision-making.
All noontime core conferences have a free lunch
Medical Grand Rounds
Weekly Grand Rounds at both institutions provide
exposure to leading clinicians and researchers providing
cutting-edge information about their areas of expertise.
Page 50
Monthly Conferences
Mini-Grand Rounds are run by the residents
Grand rounds features topics from multiple areas of
medicine including clinical topics, basic science research,
global health, and public policy.
Mini-Grand Rounds
This weekly seminar at Children's Hospital is a case
based discussion focusing on a unique case or recently
discharged patient chosen to illustrate a specific topic.
Each clinical service is charged with presenting a few
times a year and this conference is organized and run by
the residents and fellows assigned to the service. They
recruit faculty presenters, present themselves, and
engage an audience of residents, fellows and faculty in a
discussion around patient management.
Case of the Week
This weekly presentation at Boston Medical Center is
organized and moderated by the senior residents rotating
in the PICU, the NICU, the ED and the Ward. The cases
are current or recently discharged patients chosen to
illustrate specific topics. The resident selects the case and
works with a subspecialty faculty member(s) to develop
the conference. The presentation is attended by all
residents rotating at BMC as well as and the pediatric
faculty.
Intern Report
At this Friday afternoon BCH-based conference, one of
the interns presents a case. The conference is led by an
intern and supervised by a chief resident or faculty
member. It is an interactive discussion with the audience,
who are in charge of eliciting key features of the history
and physical, generating a differential diagnosis and
suggesting management options. The presenting intern
leads the discussion and is encouraged to research and
discuss some of the pertinent literature about the case.
Basic Science Journal Club/Seminar
In this monthly conference, a resident selects a basic
science article that illustrates a fundamental advance and
has translational implications. He or she prepares a
seminar designed to teach broadly about the topic as well
as focus on the article or articles distributed in advance.
One or two experts from the Boston area are selected by
the presenter and invited to sit in and contribute to the
discussion. Examples of recent topics include: highly
specific new anesthetics, pitfalls in analysis of genomic
data, autoinflammation from escaped DNA, genomic
screening for autism, microRNAs, diabetic autoimmunity,
peptidomimetics, long QT syndrome, use of gene
expression in new drug discovery, and the molecular basis
of cardiac and GI development.
Clinical Science Journal Club/Seminar
Similar to the Basic Science Journal Club, the Clinical
Science Journal Club is a monthly conference, moderated
by a house officer who selects and presents a clinically
based research article with support from specific faculty.
He or she prepares a seminar on the topic designed to
foster a larger discussion of evidence-based clinical
decision making. Besides discussing the clinical material,
each session focuses on a specific biostatistics topic.
Examples of recent topics include: a new targeted therapy
for specific cystic fibrosis gene mutations, acyclovir after
neonatal herpes, and screening for neuroblastoma.
Ethics Conference
A monthly seminar moderated by local experts on
pertinent pediatric ethical issues that are relevant to
pediatric patient care. These conferences often involve
reviewing literature related to ethical issues and
sometimes include patients and their families. Examples
of topics discussed include: withdrawal of care in the
NICU, care of the adolescent patient, and disclosure of
medical errors.
Humanism Curriculum
Developed by one of the previous senior residents during
her academic development block, this monthly seminar
series for the interns and junior residents focuses on many
of the difficult issues that physicians encounter regularly.
Residents are assigned to a small group and a faculty
preceptor with whom they meet throughout the year. The
seminars focus on issues such as the difficult patient or
family, balancing work and home life, dealing with death
and dying, medical errors and cultural diversity in
medicine.
Page 51
Grand Rounds and in selected Grand Rounds. These
programs and experiences contribute to an atmosphere in
which teaching is highly valued and, as a result, medical
students from both institutions regularly recognize
members of our housestaff with accolades and formal
teaching awards.
Leadership Seminar
Residents spend a lot of time teaching Harvard
and BU students one-on-one
Resident-as-Teacher
The BCRP emphasizes the vital role that residents play in
teaching medical students from both Harvard and Boston
University Medical Schools during their pediatric
clerkships, teaching other residents during supervisory
rotations, and future careers as educators to colleagues
and patients. To help residents become successful in
these roles, regular sessions throughout the year and
during program-wide retreats are dedicated to exercises
on effective teaching. In addition, a formal Resident-asTeacher Program exists at Children’s Hospital to further
these efforts. As part of this program, senior residents
receive one-on-one feedback on their teaching from
trained senior faculty members, based on direct
observation. Additionally, all residents are taught skills
such as teaching at the bedside, use of the “one minute
preceptor,” giving effective feedback and delivering
effective presentations. Finally, Residents take the lead in
presenting at Basic and Clinical Journal Clubs, Mini-
Chief resident teaching at student’s conference
Historically, medical schools and residencies have not
given residents adequate skills and teaching to become
great managers and leaders. At Boston Medical Center,
junior and senior residents participate in a weekly
leadership seminar to help develop qualities inherent in
strong, effective leaders: self reflection/self awareness,
conflict resolution-feedback and vision. It is designed to
be case-based, interactive, and relevant to the needs of
the pediatric residents.
Retreats
Semiannual, day long house staff retreats allow house
officers to reflect on their clinical experiences and on the
training program. This year’s spring retreat focused
residents on how to make the residency more flexible
under new residency review committee requirements
adding individualized curricula to pediatrics programs.
Simulators
Boston Children’s Hospital and Harvard Medical School
have invested in state-of-the-art, high-fidelity simulator
programs to optimize learning in the acute care setting.
Children's Simulator Suite is a faithful reproduction of an
intensive care unit bed space. The suite is outfitted with
Practicing in the simulator suite
Page 52
gas outlets, medical equipment, and both pediatric and
infant patient simulators. Next to the simulated patient
room is a video control room linked to a conference room
through closed circuit cameras for video-based debriefing
sessions. The PL-2 year ICU rotation features weekly
mock codes led by the residents with video debriefings. In
addition, there are frequent procedure sessions led by the
ICU fellows to practice procedures such as intubation,
central line placement, and chest tube placement.
At BMC, the PICU uses a portable SimBaby, which can
simulate a range of conditions and enables a number of
procedures from intubation to IV placement. The PICU
senior develops a weekly mock code for the ward team,
which starts with interns learning to use basic equipment
and progresses to the ward junior running a complex
cardiac code. Recent cases have included severe
myocarditis and status epilepticus.
Given the importance and complexity of running a code
well, the practice of mock codes is not restricted to ICU
rotations. They are scheduled as part of all the inpatient
rotations as well as during intern, junior, and senior
rounds. The focus is on increasing skill level over time,
knowing how and when to call for help and importantly,
the basics of good communication in running a successful
code.
Role of Fellows
Many of the fellowships at Boston Children’s Hospital are
the best in their specialty, and the hospital has many
fellows who are exceptional clinicians, teachers and
individuals. They provide invaluable assistance in teaching
about and caring for complex patients. Fellows are not
residents, however, and they do not assume residents
roles. Only residents can write orders (and request
consults) in the BCRP. Most residents feel that the fellows
are an integral part of their education and in fact augment
their clinical experience through dedicated and impromptu
teaching sessions. While all subspecialty services have
fellows as part of the care team at BCH, there is minimal
fellow presence at BMC with a few exceptions (ID,
Neurology and Emergency Medicine departments).
Libraries
The Children's Hospital Library is a beautiful building
that looks out on the Prouty Garden and is accessible to
housestaff at all hours. It is a quiet respite with private
carrels and other work and reading areas, and is a great
place for study or for the literature investigations required
for modern pediatric care. The library offers a wide range
of services including various databases, Up-To-Date, free
xeroxing, computer graphics, scanning and printing
facilities, and interlibrary loans. Staff librarians can assist
Library reading area overlooking the Prouty Garden
you with performing complex literature searches, whether
for immediate patient management or for ongoing
research. They also offer introductory seminars in such
areas as EndNote and PubMed for interested residents.
The Francis A. Countway Medical Library at Harvard
Medical School, next door to Children's Hospital, is one
of the world's largest medical libraries. The library holds
over 630,000 volumes, subscribes to 3,500 current
journals, of which over 1,500 are available in electronic
form, and houses over 10,000 non-current journal titles.
All the libraries resources are available to residents, and all
electronic journals articles can be downloaded as pdf
files. Many electronic textbooks and other electronic
databases, such as MD Consult are also available to
BCRP housestaff. All of the electronic resources are
available over the internet from home. The Countway also
offers access to the extraordinary library resources of
Harvard University and an exceptional History of Medicine
collection.
The Boston University School of Medicine Alumni
Medical Library is a state-of-the-art library that serves
the faculty, staff and students of the Boston University
schools of Medicine, Dental Medicine, Public Health, and
the Boston Medical Center. Besides its excellent medical
collection, it has over 1500 online journals and 30 current,
clinical electronic textbooks available to all residents.
Medical Information Systems
Timely retrieval of clinical information is a priority for
house officers. An integrated electronic hospital
information system is available at both institutions to
provide state-of-the-art information management. All vital
signs and flowcharting, imaging, laboratory results,
diagnostic studies, documentation by all outpatient and
inpatient clinical services, physician orders, prescriptions,
Page 53
and drug formularies as
well as some decision
support capabilities
exist in our electronic
health records (EHR).
Children’s Hospital
recently received
HIMSS Analytics Stage
7 award for being
completely paperless,
putting it in rare
company. Integrated
Information management is
email
and paging
state-of-the-art
systems facilitate
communications across both sites. Residents play an
important role in the implementation of the EHR and the
improvement of these systems.
Highly secure remote access to both the Boston Medical
Center and Children’s Hospital systems is available to all
residents 24 hours per day, including records, lab results,
radiology images, and paging. In addition, the BCRP
website provides password-restricted access to useful
information for residents such as colleague contact
information, rotation survival guides, upcoming schedules
and announcements, and a database of useful articles
and presentations (www.bcrpweb.com).
Research
Boston Children’s Hospital
Children’s is home to the world's largest and most active
pediatric research enterprise and one of the largest
research programs of any independent hospital. The
hospital has approximately $225 million in research
funding per year and more than 755,000 square feet of
state-of-the-art laboratory space. The research mission of
Children's Hospital encompasses basic research, clinical
research, community service programs and the training of
new scientists. More than 500 investigators, including 6
members of the National Academy of Sciences, 14
members of the Academy's Institute of Medicine, 15
Fellows of the American Academy of Arts and Sciences,
and 14 members of the Howard Hughes Medical Institute
are part of Children's truly extraordinary research
community. Four Children’s investigators have won the
Nobel Prize and six have won the nearly equally
prestigious Lasker Award.
impact of policy, such as welfare reform, housing and
nutrition on health, prenatal drug exposure on child health
and development, HIV/AIDS in children, the use of
information technology to improve quality, environmental
health and international and immigrant health.
Quality of Research
The quality of the research done by Children's Hospital
and Boston Medical Center faculty is especially impressive. During the ten years from 2002 to 2011, researchers
from Children’s published 12 times more papers in the top
three basic science journals than any other pediatric
program, and 2.4 times more than the top 20 ranked
pediatric programs combined! The proportion of papers
published in the top 35 basic science journals exceeded
all the Boston ‘adult’ hospitals and all medical schools
(including their basic science departments), except for
Harvard Medical School. Similarly, in clinical research,
BCRP researchers published 3.6 times more papers in the
top three clinical journals (New England Journal of
Medicine, JAMA and Lancet) than any other pediatric
program. Indeed, at Boston Medical Center 3.3% of
pediatric papers during 2002 to 2011 appeared in these
three journals, compared to an average of just 0.58% for
the other top 20 ranked pediatric institutions.
Research is an active aspect of the residency program as
well. This is reflected in the high proportion of residents
with previous research experience, the enthusiasm of the
residents for their journal clubs and their own research,
and just by conversations in the hallways or at rounds.
Many outstanding physician-scientists and general academic researchers serve as attendings and they also help
focus on the interplay between science and medicine.
Resident Research
Although there is no formal research requirement, many
residents do research, particularly clinical research during
their training. Children's Hospital and Boston Medical
Center both have federally funded General Clinical
Boston Medical Center
BMC is nationally recognized for clinical, health services,
and policy research as it relates to low income and
minority children. Areas of research include child
development and early literacy, perinatal epidemiology,
gene-environment interactions and low birth weight, the
Resident and fellow Research Day
Page 54
Clapham
/ HHMI
Fred Alt
BCH
NAS / IOM / AAAS
HHMI
Joel Alpert
BMC
IOM
Mel Glimcher
BCH
AAAS
Judy Lieberman
BCH
AAAS
David Clapham
BCH
NAS / HHMI
George Daley
BCH
HHMI / IOM / AAAS
Alan D’Andrea
DFCI / BCH
AAAS
Todd Golub
Steve Harrison Friedhelm Hildebrandt A. Thomas Look
Broad / DFCI / BCH
BCH / HMS
BCH
DFCI / BCH
HHMI
NAS / AAAS / HHMI
HHMI
AAAS
Donald Ingber
Wyss / BCH
AAAS
Joe Volpe
BCH
IOM
Ed Benz
DFCI / BCH
IOM / AAAS
Marie McCormack
HMS / BCH
IOM
Chris Walsh
BCH
HHMI
Marsha Moses
BCH
IOM
Matt Warman
BCH
HHMI
David Nathan
DFCI / BCH
IOM / AAAS
Morris White
BCH
HHMI
Elizabeth Engle
BCH
HHMI
Isaac Kohane
BCH / HMS
IOM
Louis Kunkel
BCH
NAS / AAAS
Stu Orkin
David Pellman
BCH / DFCI
DFCI / BCH
NAS / IOM / AAAS / HHMI / AAAS
HHMI
David Williams
BCH
IOM / AAAS
Yi Zhang
BCH
HHMI
Gary Fleisher
BCH
IOM
Timothy Springer
BCH
NAS / AAAS
Len Zon
BCH
IOM / AAAS / HHMI
BCRP faculty who belong to the National Academy of Sciences (NAS), Institute of Medicine (IOM), Howard
Hughes Medical Institute (HHMI), or are Fellows of the American Academy of Arts and Sciences (AAAS)
(BIDMC, Beth Israel Deaconess Hosp; BMC, Boston Medical Ctr; BWH, Brigham & Women's Hosp; Broad, Broad Inst;
BCH, Children's Hosp Boston; DFCI, Dana-Farber Cancer Inst; HMS, Harvard Med School; HSPH, Harvard School of
Public Health; Wyss, Wyss Inst for Biologically Inspired Engineering)
Research Centers (called the Clinical and Translational
Study Unit at Children’s), and outstanding Clinical
Research Program Core Services, with biostatisticians,
epidemiologists, and other personnel to aid in
experimental design. Children’s is also part of Harvard
Catalyst, a consortium of Harvard hospitals and resources
dedicated to clinical research. The Harvard Catalyst
provides incredible resources for interconnecting
investigators with common interests across the Harvard
community and has introduced very powerful tools that
facilitate clinical research, such as the Shared Health
Research Information Network (SHRINE), an interactive
database of patients seen at the Harvard hospitals who
meet clinical criteria of interest. Catalyst also provides
education and training in clinical research, pilot funding,
core facilities and many other services. Faculty members
at both Children’s and BMC are eager to help residents
with research, and many serve as mentors for research
projects. The Academic Development Block provides a
time to do small projects or conclude larger ones and the
new Academy of Investigation and Academy of Clinical
Innovation emphasize research. Both the Department of
Medicine at Children's Hospital, and the hospital sponsor
Research Days where residents and fellows can present
their work. In addition, 20-30 current or recently
graduated BCRP houseofficers typically submit abstracts
of research they did during residency to the Pediatric
Academic Societies spring meeting each year. Though not
all resident research is published, much of it is, and often
it is of high quality. Some examples of research done
during residency and published during the past 4.5 years
follow (resident names are in bold):
Page 55
The Fetal Hemoglobin Switch
As a medical student, Vijay Sankaran and
his mentor Stuart Orkin traced the fetal
hemoglobin switch to a repressor,
BCL11A that turns off expression of
gamma globin (and HbF), allowing beta
globin (and HbA) to switch on. This
seminal work, published in Proc Natl
Acad Sci USA, Science and Nature,
answered one of the most important
questions in hematology in the past half
century and created very important therapeutic possibilities
for treating sickle cell disease and thalassemia. Vijay
continued to pursue this and related problems during his
residency—working both here at Children's and across the
river in Cambridge, where he is holds a Visiting Scientist
position at the Broad Institute of Harvard and MIT. By
following up on thalassemic patients with gene deletions
that differ only slightly but lead to markedly different levels
of fetal hemoglobin, Vijay tracked down the locus within
DNA where BCL11A acts (N Engl J Med ). And, by following
patients with trisomy 13, who have high fetal hemoglobin
levels, he was able to identify two micro-RNAs on
2013
• Lee PY, Wang JX, Parisini E, Dascher CC, Nigrovic PA. Ly6
family proteins in neutrophil biology. J Leukoc Biol. 2013;
[Epub ahead of print].
• Hodges HK, Lee PY, Hausmann JS, Teot LA, Sanford EL,
Levin KW. Hypercalcemia and miliary sarcoidosis in a 15 yearold male. Arthritis Rheum. 2013; [Epub ahead of print].
• Sankaran VG, Orkin SH. Genome-wide association studies of
hematologic phenotypes: a window into human hematopoiesis. Curr Opin Genet Dev. 2013 [Epub ahead of print]
• Nigrovic LE, Cohn KA, Lyons TW, Thompson AD, Hines EM,
Welsh EJ, Shah SS. Enteroviral Testing and Length of Hospital
Stay for Children Evaluated for Lyme Meningitis. J Emerg Med.
2013; [Epub ahead of print]
• Nigrovic LE, Cohn KA, Lyons TW, Thompson AD, Hines EM,
Welsh EJ, Shah SS. Enteroviral Testing and Length of Hospital
Stay for Children Evaluated for Lyme Meningitis. J Emerg Med.
2013; [Epub ahead of print]
• Johnson L, Radesky J, Zuckerman B. Cross-cultural
parenting: reflections on autonomy and interdependence.
Pediatrics. 2013; 131:631-3.
• Batey LA, Welt CK, Rohr F, Wessel A, Anastasoaie V, Feldman
HA, Guo CY, Rubio-Gozalbo E, Berry G, Gordon CM. Skeletal
health in adult patients with classic galactosemia. Osteoporos
Int. 2013; 24:501-9.
• Fields EL, Bogart LM, Galvan FH, Wagner GJ, Klein DJ,
Schuster MA. Association of discrimination-related trauma with
sexual risk among HIV-positive African American men who
have sex with men. Am J Public Health. 2013; 103:875-80.
• Kentsis A, Shulman A, Ahmed S, Brennan E, Monuteaux MC,
Lee YH, Lipsett S, Paulo JA, Dedeoglu F, Fuhlbrigge R, Bachur
R, Bradwin G, Arditi M, Sundel RP, Newburger JW, Steen H,
chromosome 13 that regulate BCL11A via the Myb gene
(Proc Natl Acad Sci USA). More recently, Vijay and his
collaborators showed that sickle cell disease in mice can
be cured by silencing BCL11A and reactivating fetal
hemoglobin expression (Science) and they are searching for
small molecules that can cause such silencing and might
be effective therapeutics. In other studies, Vijay has
discovered that cyclin D3 regulates the size and number of
red cells (Genes Dev), and he has found new genes
responsible for Diamond-Blackfan anemia (J Clin Invest)
and discovered the mechanism underlying that disease
(Cell, in press). He is embarking on a large scale study of
the genetics of hematological disorders and a search to
identify natural metabolites that might explain why patients
with certain organic acidopathies have high fetal
hemoglobins. Vijay is also a great doctor and teacher and
was recently honored with an Outstanding Resident
Teacher award from the 3rd year Harvard Medical Students.
Vijay completed his residency last year and was appointed
Assistant Professor of Pediatrics. He will begin his
fellowship in hematology/oncology in January.
Kim S. Urine proteomics for discovery of improved diagnostic
markers of Kawasaki disease. EMBO Mol Med. 2013;
5:210-20.
• Musallam KM, Taher AT, Cappellini MD, Sankaran VG. Clinical
experience with fetal hemoglobin induction therapy in patients
with β-thalassemia. Blood. 2013; 121:2199-212.
• Garbern JC, Mummery CL, Lee RT. Model systems for
cardiovascular regenerative biology. Cold Spring Harb
Perspect Med. 2013; 3:a014019.
• Dauber A, Corcia L, Safer J, Agus MS, Einis S, Steil GM.
Closed-loop insulin therapy improves glycemic control in
children aged <7 years: a randomized controlled trial. Diabetes
Care. 2013; 36:222-7.
• Fiechtner L, Block J, Duncan DT, Gillman MW, Gortmaker SL,
Melly SJ, Rifas-Shiman SL, Taveras EM. Proximity to
supermarkets associated with higher body mass index among
overweight and obese preschool-age children. Prev Med.
2013; 56(3-4):218-21.
2012
• Hadland SE, Marshall BD, Kerr T, Lai C, Montaner JS, Wood E.
Ready access to illicit drugs among youth and adult users. Am
J Addict. 2012; 21:488-90.
• Hadland SE, Werb D, Kerr T, Fu E, Wang H, Montaner JS,
Wood E. Childhood sexual abuse and risk for initiating injection
drug use: a prospective cohort study. Prev Med. 2012;
55:500-4.
• Michelson KA, Monuteaux MC, Stack AM, Bachur RG.
Pediatric emergency department crowding is associated with a
lower likelihood of hospital admission. Acad Emerg Med. 2012;
19:816-20.
• Farias M, Friedman KG, Powell AJ, de Ferranti SD, Marshall
AC, Brown DW, Kulik TJ. Dynamic evolution of practice
Page 56
The Medical Perils of Street Youth
Young people who live on the street –
commonly known as ‘street youth’ –
represent a population at great risk for
acquisition of HIV and hepatitis C. Much
of this excess risk is due to the high
prevalence of intravenous drug use and
high-risk sexual behavior in this group.
Since 2007, recent chief resident Scott
Hadland has worked with researchers in
his hometown of Vancouver, Canada, to study risk
behaviors and the risk they confer for infectious disease
transmission among street youth. Scott’s work led to 10
publications during his residency years. He focused on
patterns of depression among street youth according to
the illicit drugs that they use (J Adolesc Health), and also
showed that there is an elevated risk for acquiring
guidelines: analysis of deviations from assessment and
management plans. Pediatrics. 2012; 130:93-8.
• Sankaran VG, Sapp MV. Persistence of fetal hemoglobin
expression in an older child with trisomy 13. J Pediatr. 2012;
160:352.
• Sankaran VG, Ludwig LS, Sicinska E, Xu J, Bauer DE, Eng
JC, Patterson HC, Metcalf RA, Natkunam Y, Orkin SH,
Sicinski P, Lander ES, Lodish HF. Cyclin D3 coordinates the
cell cycle during differentiation to regulate erythrocyte size
and number. Genes Dev. 2012; 26:2075-87.
• Zhang L, Sankaran VG, Lodish HF. MicroRNAs in erythroid
and megakaryocytic differentiation and megakaryocyteerythroid progenitor lineage commitment. Leukemia. 2012;
26:2310-6.
• Musallam KM, Sankaran VG, Cappellini MD, Duca L, Nathan
DG, Taher AT. Fetal hemoglobin levels and morbidity in
untransfused patients with β-thalassemia intermedia. Blood.
2012; 119:364-7.
• Henrickson S, Altshuler D. Risk and return for the clinicianinvestigator. Sci Transl Med. 2012; 4:135cm6.
• Lyons TW, McAdam AJ, Cohn KA, Monuteaux MC, Nigrovic
LE. Impact of in-hospital enteroviral polymerase chain
reaction testing on the clinical management of children with
meningitis. J Hosp Med. 2012; 7:517-20.
• Forester CM, Terry J, Lee EY, Simoneau T, Haver K. Skin
lesions and lung cysts in a neonate. J Pediatr. 2012;
160:1061-1.e1.
• Banerji V, Frumm SM, Ross KN, Li LS, Schinzel AC, Hahn CK,
Kakoza RM, Chow KT, Ross L, Alexe G, Tolliday N, Inguilizian
H, Galinsky I, Stone RM, DeAngelo DJ, Roti G, Aster JC, Hahn
WC, Kung AL, Stegmaier K. The intersection of genetic and
chemical genomic screens identifies GSK-3α as a target in
human acute myeloid leukemia. J Clin Invest.
2012;122:935-47.
• Cohn KA, Thompson AD, Shah SS, Hines EM, Lyons TW,
Welsh EJ, Nigrovic LE. Validation of a clinical prediction rule
to distinguish Lyme meningitis from aseptic meningitis.
Pediatrics. 2012;129:e46-53
hepatitis C among youth who report a history of
childhood sexual abuse (Prevent Med). As a resident,
Scott was twice nominated for the Society of Adolescent
Health and Medicine’s New Investigator Award, and was
awarded the Academic Pediatric Association’s Award for
Best Abstract by a Resident at the Pediatric Academic
Societies Annual Meeting. His research has been featured
in the Canadian press, including in articles in The National
Post, The Toronto Star, The Vancouver Sun and
MacLean’s Magazine, and has resulted in on-air interviews
on CBC Radio One and Global Television. Here in the
BCRP, Scott was recognized by the Boston University
Medical Students with a teaching award and continued to
teach residents in his role as chief resident. In the years
ahead, Scott plans to continue his work with at-risk youth
as a fellow in adolescent medicine at Boston Children’s
Hospital.
• Crapp S, Harrar D, Strother M, Wushensky C, Pruthi S.
Rocky Mountain spotted fever: 'starry sky' appearance with
diffusion-weighted imaging in a child. Pediatr Radiol. 2012;
42:499-502.
• Fields EL, Bogart LM, Smith KC, Malebranche DJ, Ellen J,
Schuster MA. HIV risk and perceptions of masculinity among
young black men who have sex with men. J Adolesc Health.
2012; 50:296-303.
• Hadland SE, Milloy MJ, Kerr T, Zhang R, Guillemi S, Hogg
RS, Montaner JS, Wood E. Young age predicts poor
antiretroviral adherence and viral load suppression among
injection drug users. AIDS Patient Care STDS. 2012;
26:274-80.
• Hadland SE, Marshall BD, Kerr T, Qi J, Montaner JS, Wood E,
Suicide and history of childhood trauma among street youth.
J Affect Disord. 2012; 136:377-80.
• Henrickson SE, Agyemang AF, Garg S, Hafler JP. Integrating
clinical perspectives into graduate education. Clin Immunol.
2011; 141:228-30.
• Leung DT, Bogetz J, Itoh M, Ganapathi L, Pietroni MA, Ryan
ET, Chisti MJ. Factors associated with encephalopathy in
patients with salmonella enterica serotype typhi bacteremia
presenting to a diarrheal hospital in Dhaka, Bangladesh. Am J
Trop Med Hyg. 2012; 86:698-702.
• Sankaran VG, Ghazvinian R, Do R, Thiru P, Vergilio J, Beggs
AH, Sieff CA, Orkin SH, Nathan DG, Lander ES, Gazda HT.
Exome sequencing identifies GATA1 mutations resulting in
Diamond-Blackfan anemia. J Clin Invest. 2012; 122:2439-43.
2011
• Ajjampur SS, Koshy B, Venkataramani M, Sarkar R, Joseph
AA, Jacob KS, Ward H, Kang G. Effect of cryptosporidial and
giardial diarrhoea on social maturity, intelligence and physical
growth in children in a semi-urban slum in south India. Ann
Trop Paediatr. 2011; 31:205-12.
• Farias M, Ziniel S, Rathod RH, Friedman KG, Colan S,
Newburger JW, Fulton DR. Provider attitudes toward
Standardized Clinical Assessment and Management Plans
(SCAMPs). Congenit Heart Dis. 2011; 6:558-65
Page 57
• Xu J, Peng C, Sankaran VG, Shao Z, Esrick EB, Chong BG,
Ippolito GC, Fujiwara Y, Ebert BL, Tucker PW, Orkin SH.
Correction of sickle cell disease in adult mice by interference
with fetal hemoglobin silencing. Science. 2011; 334:993-6.
• Tuysuzoglu S, Corliss HL, Fitzgerald SM, Abascal BR,
Samples CL. Acceptability and feasibility of rapid HIV testing
in an adolescent clinic setting: Youth testing attitudes, knowledge, and behaviors. J Adol Health. 2011; 49:609-14.
• Fornwalt BK. The dys-synchrony in predicting response to
cardiac resynchronization therapy: a call for change. J Am
Soc Echocardiogr. 2011; 24:180-4.
• van Eeghen AM, Numis AL, Staley BA, Therrien SE, Thibert
RL, Thiele EA. Characterizing sleep disorders of adults with
tuberous sclerosis complex: a questionnaire-based study and
review. Epilepsy Behav. 2011; 20:68-74.
• Friedman KG, Kane DA, Rathod RH, Renaud AM, Farias M,
Geggel R, Fulton DR, Lock JE, Saleeb SF. Pediatric chest
pain: Reducing resource utilization using a standardized
clinical assessment and management plan. Pediatrics. 2011;
128:239-45.
• Geva A, Brigger MT. Dexamethasone and tonsillectomy
bleeding: A meta-analysis. Otolaryng Head Neck. 2011;
144:838-43.
• Hadland SE, Marshall BD, Kerr T, Zhang R, Montaner JS,
Wood E. A comparison of drug use and risk behavior profiles
among younger and older street youth. Subst Use Misuse.
2011; 46:1486-94.
• Hadland SE, Marshall BD, Kerr T, Qi J, Montaner JS, Wood E.
Depressive Symptoms and Patterns of Drug Use Among
Street Youth. J Adolesc Health. 48:585-90.
• Johnson, L. Gould, L. Dunn, J. Berkelman, R. Mahon, B.
Salmonella infections associated with international travel: A
foodborne diseases active surveillance network (FoodNet)
study. Foodborne Pathogens and Disease. 2011; 8:1031-7.
• Loddenkemper T, Fernández IS, Peters JM. Continuous
Spike and Waves During Sleep and Electrical Status
Epilepticus in Sleep. J Clin Neurophysiol. 2011; 28:154-64.
• Numis AL, Major P, Montenegro MA, Muzykewicz DA, Pulsifer
MB, Thiele EA. Identification of risk factors for autism
spectrum disorders in tuberous sclerosis complex. Neurology.
2011; 76:981-7.
• Oshrine B, Lehmann LE, Duncan CN. Safety and utility of
liver biopsy after pediatric hematopoietic stem cell
transplantation. J Pediatr Hematol Oncol. 2011; 33:e92-7.
• Ozcan E, Rauter I, Garibyan L, Dillon SR, Geha RS. Toll-like
receptor 9, transmembrane activator and calcium-modulating
cyclophilin ligand interactor, and CD40 synergize in causing
B-cell activation. J Allergy Clin Immunol. 2011; 128:601-9.
• Peacock-Villada E, Richardson BA, John-Stewart GC. PostHAART outcomes in pediatric populations: Comparison of
resource-limited and developed countries. Pediatrics. 2011;
127:e423-41.
• Sankaran VG, Menne J, Heller R. Heterozygous disruption of
human SOX6 is insufficient to impair erythropoiesis or
silencing of fetal hemoglobin. Blood. 2011; 117:4396-7.
• Sankaran VG, Menne TF, Scepanovic D, Vergilio JA, Ji P, Kim
J, Thiru P, Orkin SH, Lander ES, Lodish HF. MicroRNA-15a
and -16-1 act via MYB to elevate fetal hemoglobin expression
in human trisomy 13. Proc Natl Acad Sci USA. 2011;
108:1519-1524.
• Sankaran VG, Xu J, Byron R, Greisman HA, Fisher C,
Weatherall DJ, Sabath DE, Groudine M, Orkin SH,
Premawardhena A, Bender MA. A functional element
necessary for fetal hemoglobin silencing. N Engl J Med. 2011;
365:807-14.
• Walsh CO, Ziniel SI, Delichatsios HK, Ludwig DS. Nutrition
attitudes and knowledge in medical students after completion
of an integrated nutrition curriculum compared to a dedicated
nutrition curriculum: a quasi-experimental study. BMC Med
Educ. 2011; 11:58.
• Xu J, Peng C, Sankaran VG, Shao Z, Esrick EB, Chong BG,
Ippolito GC, Fujiwara Y, Ebert BL, Tucker PW, Orkin SH.
Correction of sickle cell disease in adult mice by interference
with fetal hemoglobin silencing. Science. 2011; 334:993-6.
2010
• Chan GJ, Parco K, Sihombing M, Tredwell S, O’Rourke E.
Improving health services to displaced persons in Aceh,
Indonesia: A Balanced Scorecard. Bull World Health Org.
2010; 88:709-12.
• Chung EY, Huang L, Schneider L. Safety of influenza vaccine
administration in egg-allergic patients. Pediatrics 2010; 125:
e1024-e1030.
• Depositario-Cabacar DT, Peters JM, Pong AW, Roth J,
Rotenberg A, Riviello JJ Jr, Takeoka M. High-dose intravenous
levetiracetam for acute seizure exacerbation in children with
intractable epilepsy. Epilepsia. 2010; 51:1319-22
• Dickman KR, Nabyonga L, Kateete DP, Katabazi FA, Asiimwe
BB, Mayanja HK, Okwera A, Whalen C, Joloba ML. Detection
of multiple strains of Mycobacterium tuberculosis using
MIRU-VNTR in patients with pulmonary tuberculosis in
Kampala, Uganda. BMC Infect Dis. 2010;10:349.
• Friedman KG, Rathod RH, Farias M, Graham D, Atwood S,
Powell A, Fulton D, Newburger JW, Colan S, Jenkins K, Lock
JE. Evaluation of resource utilization after introduction of a
standardized clinical assessment and management plan."
Congenit Heart Dis 2010; 5:374-81.
• Galarneau G, Palmer CD, Sankaran VG, Orkin SH,
Hirschhorn JN, Lettre G. Fine-mapping at three loci known to
affect fetal hemoglobin levels explains additional genetic
variation. Nat Genet. 2010; 42:1049-51.
• Gray J, Davis D, Smallcomb J, Pursley D, Geva A, Chawla N.
Network analysis of team structure in the neonatal intensive
care unit. Pediatrics. 2010; 125:e1460-7.
• Hadland SE, Kerr T, Marshall BD, Small W, Lai C, Montaner
JS, Wood E. Non-injection drug use patterns and history of
injection among street youth. Eur Addict Res. 2010; 16:91-8.
• Kentsis A, Lin YY, Kurek K, Calicchio M, Wang YY, Monigatti
F, Campagne F, Lee R, Horwitz B, Steen H, Bachur R.
Discovery and validation of urine markers of acute pediatric
appendicitis using high accuracy mass spectrometry. Ann
Emerg Med. 2010; 55:62-70.
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• Kesselheim JC, Johnson J, Joffe S. Ethics consultation in
children's hospitals: results from a survey of pediatric clinical
ethicists. Pediatrics. 2010; 125:742-6.
• Gray J, Davis D, Smallcomb J, Pursley D, Geva A, Chawla N.
Network analysis of team structure in the neonatal intensive
care unit. Pediatrics. 2010; 125:e1460-7.
• Marma AK, Berry JD, Ning H, Persell SD, Lloyd-Jones DM.
The distribution of 10-year and lifetime predicted risks for
cardiovascular disease among United States adults: findings
from the National Health and Nutrition Examination Survey
2003-2006. Circulation: Cardiovascular Quality & Outcomes.
2010; 3:8-14.
• Maru, D., Schwarz, R. Andrews, J., Basu, S., Sharma A.,
Moore, C. Turning a Blind Eye: the mobilization of radiology
services in resource-poor regions. Globalization and Health.
2010; 6:18
• Pier DB, Hallbergson A, Peters JM. Guillain-Barré syndrome
in a child with pain: lessons learned from a late diagnosis.
Acta Paediatr. 2010; 99:1589-91.
• Rakoff-Nahoum S, Bousvaros A. Innate and adaptive
immune connections in inflammatory bowel diseases. Curr
Opin Gastroenterol. 2010; 26:572-7.
• Rathod RH, Farias M, Friedman KG, Graham D, Fulton D,
Newburger JW, Colan S, Jenkins K, Lock JE. A novel
approach to gathering and acting on relevant clinical
Information: SCAMPs. Congenit Heart Dis. 2010; 5:343-53.
• Rudloe TF, Harper MB, Prabhu SP, Rahbar R, Vanderveen D,
Kimia AA. Acute periorbital infections: who needs emergent
imaging? Pediatrics. 2010; 125:e719-26.
• Sankaran VG, Nathan DG. Reversing the hemoglobin switch.
N Engl J Med. 2010; 363:2258-60.
• Shin C, Nam JW, Farh KK, Chiang HR, Shkumatava A, Bartel
DP. Expanding the microRNA targeting code: functional sites
with centered pairing. Mol Cell. 2010; 38:789-802.
• Stein R, Silverstein M. Potential implications of US healthcare
reform for American children. Archives of Disease in
Childhood 95(8):578-579, 2010.
• Xu J, Sankaran VG, Ni M, Menne TF, Puram RV, Kim W, Orkin
SH. Transcriptional silencing of γ-globin by BCL11A involves
long-range interactions and cooperation with SOX6. Genes
Dev. 2010; 24: 783-98.
2009
• Skotko, B. Fasten Your Seatbelt: A Crash Course on Down
Syndrome for Brothers and Sisters. Bethesda, MD: Woodbine
House, 2009 (Book).
• Demirjian A, Levy O. Neonatal vaccination: a once in a
lifetime opportunity. Pediatr Infect Dis J. 2009; 28:833-5.
• Demirjian A, Levy O. Safety and efficacy of neonatal
vaccination. Eur J Immunol. 2009; 39:36-46.
• Gordon MB, Osganian SK, Emans SJ, Lovejoy FH Jr. Gender
differences in research grant applications for pediatric
residents. Pediatrics. 2009 Aug;124(2):e355-61.
• Kentsis A, Monigatti F, Dorff K, Campagne F, Bachur R, Steen
H. Urine proteomics for profiling of human disease using high
accuracy mass spectrometry. Proteomics. 2009; 3:1052-61.2
• Kesselheim JC, Lehmann LE, Styron NF, Joffe S. Is blood
thicker than water?: ethics of hematopoietic stem cell
donation by biological siblings of adopted children. Arch
Pediatr Adolesc Med. 2009; 163:413-6.
• Maru, D., Sharma, A., Andrews, J., Basu, S., Thapa, J., Oza,
S., Bashyal, C., Acharya, B., Schwarz, R. Global health
delivery 2.0: using open-access technologies for transparency
and operations research. PLoS Med. 2009; 6:e1000158.
• O'Donnell KA, Ewald MB. Huffing and puffing to lose weight.
Pediatr Emerg Care. 2009; 25:605-7.
• Permaul P, Stutius LM, Sheehan WJ, Rangsithienchai P,
Walter JE, Twarog FJ, Young MC, Scott JE, Schneider LC,
Phipatanakul W. Sesame allergy: role of specific IgE and skinprick testing in predicting food challenge results. Allergy
Asthma Proc. 2009; 30:643-8.
• Shapiro KA, Caramazza A. Morphological processes in
language production. In: Gazzaniga M, editor. The Cognitive
Neurosciences, 4th ed. Cambridge, MA, USA: Cambridge
University Press; 2009.
• Skotko BG, Capone GT, Kishnani PS. Down Syndrome
Diagnosis Study Group. Postnatal diagnosis of Down
syndrome: synthesis of the evidence on how best to deliver
the news. Pediatrics. 2009; 124:e751-8.
• Skotko BG, Kishnani PS, Capone GT. Down Syndrome
Diagnosis Study Group. Prenatal diagnosis of Down
syndrome: how best to deliver the news. Am J Med Genet A.
2009; 149A:2361-7.
• Smith-Rohrberg Maru D, Bruce RD, Springer SA, Walton M,
Altice FL. Persistence of virological benefits following directly
administered antiretroviral therapy among drug users: results
from a prospective, randomized controlled trial. JAIDS. 2009:
50:176-81.
• Wolff M, Bachur R. Serious bacterial infection in recently
immunized young febrile infants. Acad Emerg Med. 2009;
16:1284-9.
• Wood JN, Christian CW, Adams CM, Rubin DM. Skeletal
surveys in infants with isolated skull fractures. Pediatrics.
2009; 123:e247-52.
Research Tracks
The BCRP supports both research pathways approved by
the American Board of Pediatrics.
Accelerated Research Pathway (ARP)
This pathway is for residents committed to an academic
career as a physician-scientist. It allows the resident to
complete pediatrics training in two years in exchange for
adding an extra year of fellowship. No exam is required.
Since almost all fellows training to be physician-scientists
do more than three years of fellowship research anyway,
this is an attractive pathway.
Integrated Research Pathway (IRP)
This is another new pathway. It is open to those with MD/
PhDs or PhD-like research experience. The pathway
allows residents to combine 24-months of clinical
residency with up to 12-months of research, beginning
Page 59
after the PL-1 year. At least 5-months of the research
must be in the PL-3 year.
many opportunities as possible to spend time together
outside the hospital.
These pathways are described in detail in the American
Board of Pediatrics website.
Intern Orientation
Eligibility for Research Tracks
Intern applicants cannot be guaranteed acceptance into
these pathways prior to the beginning of their internship
since clinical performance and PL-1 in-service exam
scores are used to judge a candidate's suitability for
accelerated training. Housestaff who wish to pursue these
pathways instead of a senior year, must notify Ted Sectish
by January 1st of their internship year.
New interns participate in an unparalleled12-day
Orientation before their first day of work. This time is used
for interns to get to know each other, to explore Boston,
to learn their way around the hospitals, and to take care of
logistics so that they can hit the ground running.
• Indication that a given fellowship at Children's Hospital,
Boston Medical Center, or elsewhere will accept the
candidate for a fellowship position following his or her
PL-2 year.
During Orientation, incoming interns participate in
structured modules that highlight a variety of important
areas such as communication, professionalism,
humanism, individualized learning plans, and procedural
competency; complete certification courses in PALS and
NRP; get oriented to the wards and emergency
departments in which they will soon be working; and
perhaps most importantly, enjoy a variety of social
activities, including:
• Team-based scavenger hunt
• Traditional New England clambake
• Indication, from the candidate's PL-1 in-training exam
score, that he or she will likely pass the American Board
of Pediatrics Qualifying Exam without a third year of
pediatric training.
• Barbecue at the Larz Anderson Park in Brookline
• Tours of Boston on the famous Duck Boats
• Chief Family Dinners
Necessary requirements to be considered include:
• A prior track record of research accomplishment.
Since the number of slots is limited, due to the special
curricular requirements of these pathways, the
Nonstandard Training Pathway Committee, made up of
Program Directors, Chief Residents and Division Chiefs,
will select those applicants best suited to pursue these
special tracks. Decisions are made in the winter of the
intern year. Approximately four to five slots are available
each year. It should be noted that the number of
candidates desiring one of these two research tracks
almost never exceeds the number of slots.
Special Tracks
The BCRP makes every effort to allow residents the
freedom to pursue special research pathways that meet
their needs. For example, some residents have extended
their period of training for family reasons, and a few have
left the program for a year to undertake or complete a
project.
• Happy Hours
• Movie Night on the Esplanade
• And more…
Advisors and Mentorship
The BCRP strives to provide the best possible educational
experience for each and every resident, to foster personal
and professional growth, to encourage the pursuit of
individual passions, and to guide residents along their
chosen career path in order to help them become leaders
in clinical care, research, medical education, quality
improvement, advocacy, or other areas of their choosing.
We take a two-pronged approach, with advising being
The Personal Touch
The BCRP is a family made up of over 140 residents,
program directors, and administrative staff. Many
residents have recently moved to Boston, some come
with partners and young children, and all are working hard
to balance their busy professional and personal lives. We
value providing a strong support network for our
residents, and we strive to give the BCRP community as
Intern orientation: new white coats
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Intern Orientation
Getting to know you games
Practicing procedures
New pagers
Learning proper technique for completing the New York Times Crossword
Prouty Garden picnic
New name tags
Famous Dr. Vinci waffles
Bad breath protection
REALLY bad breath protection
Dinner at the Vinci’s
New England Clambake
Page 61
The Cape Ann site of many intern retreats
provided primarily through the five “Chief Families,” and
mentorship being accomplished primarily through the four
Academies discussed elsewhere.
Advising: Each of the Chief Families has between 25-30
residents and is led by a Chief Resident and one or two
faculty advisors. Residents meet individually with their
Chief Family leadership to, on a regular basis,
confidentially discuss their rotation feedback and
assessments, progress towards individual personal and
professional goals, and any issues they may be
encountering. The advisors may also provide guidance on
career choices and advocate on behalf of the resident
when necessary.
Mentorship: While mentorship overlaps significantly with
advising, the primary focus of mentorship through the
Academies is professional development and career
planning. Indeed, it is a cornerstone of the Academies,
and the Faculty Advisors, affiliated faculty members, and
Chief Residents in charge of each Academy will create
numerous opportunities for residents to identify mentors
through networking events, career nights, and researchin-progress events, among others. Residents are
encouraged to identify mentors that share their interests,
or the Academy leadership may assign a mentor at the
resident’s request.
Housestaff Lounge
The Housestaff Lounge is a newly-renovated, casual
space dedicated to the residents. It contains workspaces
with computers, a printer, a fax machine/scanner; a Keurig
coffee machine with free coffee and tea; a full-size
refrigerator and microwave; and a 50-inch HD television
with surround sound, DVD player, Xbox, and Nintendo Wii.
Residents use this room to relax, to gather for informal
meetings, and for various lunchtime conferences.
Relaxing in the housestaff lounge
Retreats
House officers participate in multiple retreats throughout
the three years of residency that provide time for resident
bonding, reflection on education, and discussion of issues
important to the entire residency.
Intern Retreat
An overnight retreat in early fall (for all interns) to relax,
reflect, and enjoy each others’ company in a more casual
setting after the first three months of residency. It is
typically held at one of the faculty members’ summer
homes (without the faculty member present, of course).
Recently, the interns have spent the night on Cape Ann
and Squam Lake.
Fall Housestaff Retreat
Traditionally, this all-day, all-housestaff retreat has
involved activities that help all three years of residents get
to know each other. A location away from the hospitals is
chosen (we recently enjoyed a beautiful day at a
conference center on Lake Pearl); fellows and attendings
cover the clinical services while residents are at the
retreat.
Resident input is solicited in order to plan the topics of
discussion, such as curricular changes and how to be an
effective teacher on the wards. Team-building activities
have included ropes courses, wilderness survival
simulations, and the annual BCRP Olympics.
Spring Housestaff Retreat
The Spring all-day, all-housestaff retreat is also held off
the hospital premises. This retreat is typically used as a
forum for reflecting on the year, sharing advice about
career and financial planning, brainstorming on ways to
improve the residency experience, and afterwards, honing
the residents’ bowling skills.
Page 62
Intern Retreat
Hanging out
Beach football
Playing Scatagories
Breakfast together
Fall Retreat
Some work sessions
Some time to hang out
And team building events like the BCRP olympics and rope courses
Page 63
Rising Junior Orientation
This retreat is for interns only and also takes place in the
spring. Discussions center around the new experiences
interns can expect in the junior year, including increased
autonomy and resident and medical student teaching.
Rising Senior Orientation
This is a springtime junior-only retreat focused on building
skills essential to the role of the senior resident. Usual
topics include: leadership and communication skills;
principles of medical education and “resident-as-teacher”;
tips on licensure and career planning; and recertification in
NRP.
Family Friendliness
Parenting as a Resident
The BCRP actively supports residents who are parenting
during their training years. As a program, we recognize the
difficulties inherent in managing the dual roles of parent
and house officer. We are proud to offer a variety of
supports to help residents strike their work-family balance
with grace and confidence.
• Peers Who are Parents. You will find parents of
infants, toddlers and school-age children among fellow
residents. As a group they socialize and share
information about how to strike the right work-family
balance.
• Maternity and Paternity Leave. The program offers
maternity leave and paternity leave. With advance
scheduling up to 12 weeks usually can be
accommodated for the former. The time is limited by
the training requirements of the American Board of
Pediatrics. More time can be taken if the resident
extends the period of training to include the extra leave.
• Flexible Scheduling. The BCRP has assisted several
residents with arranging half or three-quarter time
schedules, designed to allow completion of residency
at a slower pace over a longer interval. Although we
cannot always guarantee flexible scheduling, we try to
accommodate such requests to the best of our ability.
The BCRP has more residents on flexible schedules
than any other program.
• Supportive Colleagues and Mentors. House officers
returning to work after childbirth report that their
colleagues and mentors are supportive during the
transition back, including attitudes towards
breastfeeding and the short but frequent absences it
requires from the wards.
• Lactation Support. Both Children's Hospital and
Boston Medical Center have extensive lactation
resources, including dedicated RN lactation consultants
and multiple pumping stations. Pumps and associated
accessories can be purchased from the hospital at a
discount.
• Child Care. Children's Hospital has an affiliated daycare center that is available to Categorical track
residents (though there is usually a waiting list). There
are multiple other day care options in the Longwood
Medical Area that are compatible with medical hours.
For even more flexibility, some residents choose to hire
nannies, found through a variety of channels, including
recommendations from current and former residents.
• Community Offerings for Families. Boston and the
surrounding communities provide a wide array of
enjoyable and enriching opportunities for kids. There
are numerous playgrounds, parks, and kid-friendly
green spaces; a world-class aquarium, a children's
museum and a science museum; and innumerable
other activities available, such as story hours and day
trips.
• Schools. Many of the local school systems, including
Brookline and Newton, enjoy nationwide recognition for
excellence.
Benefiting the Community
Men of the BCRP
The BCRP is actively engaged in the Boston community
and committed to providing outstanding care to Boston’s
children. Both institutions are located near large urban
areas with many families living at or below the poverty
level. In many ways, our institutions become community
hospitals for residents from Roxbury, Dorchester and
Mission Hill. The majority of children who live in Boston
Page 64
Natalie Stavas and Dan Parry are Passionate
About Fighting Childhood Obesity.
Inspired by the patients in their primary care clinics, Drs.
Stavas and Parry piloted a Massachusetts-wide
campaign to decrease the consumption of sugarsweetened beverages and reduce obesity. They
successfully rallied pediatricians to support House Bill
1697, which aimed to revoke the sales tax exception that
existed for soda in our state. In addition, they led the
distribution of “No Sugary Drinks” prescription pads to
physicians across the state. Their efforts received media
coverage from the Boston Globe and the recognition of
many policymakers in the Commonwealth.
receive their primary health care from one of our
institutions. Boston Medical Center is the largest provider
of uncompensated care (Free Care) in Massachusetts and
Children’s Hospital’s Primary Care Center (CHPCC) is the
largest provider of pediatric primary care to children in the
city, with 11,000 patients,
65% from inner city
neighborhoods. Several
rotations incorporate
community experiences and
resident engagement with
the urban population as
part of their curricula,
including Adolescent Medicine, Child Development,
Emergency medicine, and the Advocacy curriculum.
Medical-Legal Partnership
The Medical-Legal Partnership, a medical-legal
collaboration, founded at Boston Medical Center by Dr.
Barry Zuckerman in 1994, has been expanded to over 180
hospitals and medical centers nationwide. This unique
program connects doctors and lawyers as partners to
address the social determinants of health. Four full-time
attorneys are part of the BMC faculty. They address the
legal problems faced by many low-income families that
impact the health of pediatric patients. The Partnership
provides families with legal assistance, educates the
healthcare community about families’ legal rights, and
engages in efforts to improve the systems that serve
vulnerable children and families. The Partnership clinics
provide free legal assistance in areas such as custody,
housing, utilities, educational advocacy and food security
to families whose children are patients at Boston Medical
Center, or at many of the BMC-affiliated community health
centers. A Medical-Legal Partnership clinic also exists at
Boston Children's Hospital.
The Community Health and Advocacy Rotation, now
incorporated into our innovative, blended Keystone
Quarter during the PL-1 year, was originally developed by
the Medical-Legal Partnership. Based at Boston Medical
Center, the curriculum focuses on screening for and
addressing social determinants of health, building
familiarity with resources in Boston to address social
determinants, and exploring careers in advocacy at the
local, national and global levels. Training in media and
legislative advocacy, skill building exercises such as
writing op-ed pieces, and experiential learning through a
community tour and visits to local institutions such as
WIC and housing court complement targeted didactic
training in topics such as disability services, family law,
health insurance, housing, hunger and nutrition, and
immigration services. In addition, residents learn to
seamlessly incorporate their advocacy skills into their
primary care clinic and emergency rooms shifts during the
Keystone Quarter so that advocacy is seen as central to
being a Pediatrician rather than separate from clinical
duties.
For residents with a special interest in this area, an
elective opportunity can be arranged at the Legislative
Office of the American Academy of Pediatrics (AAP) in
Washington, DC. Residents can also become involved
with advocacy through the Boston Children’s Hospital
Advocacy Network. BCRP residents also join with
pediatric residents from MGH and other pediatric
programs in the state in RFDASH (Residents and Fellows
Day at the State House) to advocate for policies that
benefit children at the state level.
International Opportunities
BCRP Global Child Health Initiative
Community Health and Advocacy Rotation
Page 65
The goals of the initiative are to increase knowledge and
awareness of global health issues; to provide specialized
knowledge, skills and mentorship to residents with career
interests in Global Child Health; and to provide highquality opportunities for meaningful international clinical
experiences. The initiative offers exposure to international
and refugee patients, as well as faculty working on
cutting-edge, grass-roots policy and health service
delivery implementation in the developing world. It has
three major components:
• Global health teaching curriculum for all BCRP
residents.
• Global health electives at supervised, affiliated
international sites.
• A four year integrated residency and fellowship in
Global Child Health through Boston University or a
postgraduate Global Pediatric Fellowship in Health
Services Delivery through Boston Children’s Hospital
and Partners in Health.
More detailed information can be found at http://
www.childrenshospital.org/globalpediatrics and at http://
childrenshospital.libguides.com/global.
Global Health Teaching Curriculum
The BCRP global health teaching curriculum provides
didactic and case-based instruction on the fundamentals
of pediatric international health, integrated throughout
existing noon conferences and resident lectures. For
residents in the Urban Health and Advocacy Track,
additional educational sessions occur during the twoweek advocacy block (PL-1 year), the monthly primary
care lecture series and the evening policy series. The
curriculum covers topics of current relevance as well core
topics such as tuberculosis, HIV, malaria, malnutrition,
vitamin and micronutrient deficiencies, parasitic
infections, child and infant mortality in the developing
world, and management of healthcare systems in
resource-poor settings.
to interested residents. The schedule is listed at http://
www.childrenshospital.org/globalpediatrics. Residents
who want to be added to the distribution list and receive
the journal article in advance should contact
[email protected]
Contact Christiana Russ with any questions
([email protected]).
BMC International Health Clinics
Boston Medical Center has an International Refugee
Clinic, Travel Clinic and Tuberculosis Clinic. Residents
have the opportunity to rotate through these clinics during
their elective time.
Global Health Electives with Established
Partnerships
Residents have elective time in their second and third
years, during which they can pursue clinical rotations at
international sites. Our goal is that all residents interested
in global health rotations will receive preparation and
support to facilitate their participation in elective rotations
in resource limited settings that are educational, safe, and
Global Health Seminar Series
Every month the Global Pediatrics Program hosts a
seminar pertaining to child health in low-resource settings.
The seminar schedule is listed at http://
www.childrenshospital.org/globalpediatrics
Fellows Journal Club and Conference
The Global Pediatrics Fellowship in Health Service
Delivery at Children’s Hospital hosts a monthly journal
club and a monthly conference. These sessions are open
Page 66
Cost:
Language:
Contact:
clinical work on the ward, NICU, ER and
outpatient clinics.
In-country costs provided. Resident is
responsible for their plane ticket and
dinners
No requirement
Michelle Niescierenko at Boston
Children’s Hospital
Examining a patient in Haiti
responsive to their host communities. Housestaff may
arrange rotations or research projects independently, or
they may take advantage of several established
partnerships. A database of institutional, regional and
national grants is available to assist residents with
funding. The more established programs are described
here. With the exception of the program in Botswana,
these rotations are currently available to BCRP residents
only.
New solar-powered hospital in Mirebalais, Haiti
Haiti
Program:
Partners in Health/ZL
Sites:
St Marc, Mirebalais, and Cange Hospitals
Minimum Time:2 weeks with continued rotations in the
future, longer participation preferred.
Activities:
Teaching of local nurses, residents and
doctors; clinical work on the general
pediatrics ward or in the NICU or
outpatient clinic; protocol development
for common diseases.
Cost: Plane ticket
Language:
None required but knowledge of French
useful
Contact:
Sara Stulac at Partners in Health (Link:
[email protected], cc: Amy Banham,
[email protected])
John F. Kennedy Medical Center, Liberia
Liberia
Program: Academic Collaborative to Support
Medical Education in Liberia
Site:
John F. Kennedy Medical Center,
Monrovia, Liberia.
Minimal Time: One month
Activities:
Co-teaching of Liberian medical students
and interns, supervision of US residents,
Botswana
Program: Botswana-Harvard Partnership Research
Program/Beth Israel Deaconess Hospital
Site:
Scottish Livingstone Hospital, Molopolole,
Botswana, a large (63,000 pop) traditional
village located 60 km from the capital city
of Gaborone.
Minimum Time:One month.
Activities:
Pediatric ward care. Focus is on HIV, but
Page 67
Jakarta, Java & Sulawesi Indonesia
Program:
Sites:
Save the Children, EMAS (Expanding
Maternal and Neonatal Survival)
Five tertiary hospitals in the Sumatra,
Java, Sulawesi regions above
Scottish Livingstone Hospital in Molopolole, Botswana
Cost:
Language:
Contact:
patients have many infectious diseases,
accidents, burns, snakebites and other
disorders. Visit needs to be coordinated
with the MGH-based pediatric attending,
who is there part of the year. Opportunities for teaching and research available.
Plane ($1500-2000) and housing
($900-1000/month)
No requirement
Roger Shapiro
([email protected]) or Tomer
Barak ([email protected]) with
questions
Minimum Time: 1
month
Activities:
Teaching newborn medicine including
delivery room care and resuscitation (NRP
and Helping Babies Breath), well-baby
care protocols (hyperbilirubinemia,
hypoglycemia, etc), NICU/special care
protocols, bubble CPAP.
Cost:
Housing and in-country costs provided,
$500 stipend toward plane ticket provided
Language:
None required but knowledge of French,
Arabic or Indonesia useful
Contact:
Michelle Niescierenko at Boston
Children’s Hospital
Muhimbli National Hospital in Tanzania
Tanzania
Program:
Site:
Muhimbili University Pediatrics Dept
Muhimbili National Hospital, Dar es
Salaam, Tanzania
Minimum Time:2-4 weeks
Activities:
Residents work alongside pediatric
faculty, residents and staff in a large
department that serves as a referral
center for the country. They can choose
to work in subspecialty clinics, the acute
care ward, general ward, NICU, or the
diarrhea ward. They can also focus on
research or quality improvement projects,
and enhancing education.
Cost:
Plane ticket, lodging
Language:
No requirement
Contact:
Christiana Russ at Boston Children’s
Hospital
Northern Navajo Medical Center
Indian Health Services
Program:
Site:
Indian Health Services Pediatric Program
Northern Navajo Medical Center,
Shiprock, New Mexico
Minimum Time: 1 month
Activities:
The pediatric rotation includes mostly
outpatient urgent care and primary care
visits. Residents may also observe
numerous community-based healthcare
initiatives, including school visits. This is a
unique opportunity to work with a
medically underserved community with a
distinctive culture while gaining outpatient
primary care and public health
perspectives.
Language:
No requirement
Page 68
Contact:
Christiana Russ at Boston Children’s
Hospital
Other Global Health Electives
Dana-Farber/Boston Children’s Cancer and Blood
Diseases Center Global Health Initiative
The Dana-Farber Cancer Institute and Boston Children’s
Hospital have a global health initiative that integrates
program building, education and research in pediatric
cancer and blood disorders in developing countries.
Elective rotations at these sites are available, and
residents are encouraged to become involved with
planning and program development. Ongoing initiatives
include: (a) an advanced pediatric oncology unit at the
Children’s Cancer Hospital in Cairo, Egypt; (b) a newborn
screening program for sickle cell disease and a sickle cell
disease clinic in Liberia, in collaboration with the HEARRT
program, and in Haiti in collaboration with Partners in
Health; and (c) international pediatric cancer care and
control programs in multiple regions, including Central
America and the Dominican Republic, in collaboration
with AHOPCA, a network of pediatric oncologists; in Haiti
and Rwanda, in collaboration with Paul Farmer’s program,
Partners in Health; and in
Ethiopia, in collaboration
with the International
Network for Cancer
Treatment and Research
(INCTR).
One of our pediatric
residents has been actively
involved in the development
of a retinoblastoma program
in the Philippines. Another
has worked on intensive
care of patients with cancer
in Guatemala. Other exresidents, now fellows, are involved in cancer care and
research in multiple countries through the global health
fellowship in hematology/oncology described in a
separate section.
Please contact Dr. Carlos Rodriguez-Galindo at the DanaFarber Cancer Institute for more information.
International Family AIDS Program, Dominican
Republic
The BCRP is collaborating with a program affiliated with
Columbia University that offers a pediatric elective in the
Dominican Republic. The International Family AIDS
Program clinic is in La Romana on the Southeastern
coast. The population served includes Haitians and
Dominicans, with a significant prevalence of HIV. The
elective involves both a clinical component and a project
or research component. The clinical component consists
of outpatient HIV care five mornings a week under the
supervision of staff pediatricians and Global Health
fellows. The project provides a needed service to the
clinic or answers a relevant research question. Residents
attend weekly educational conferences and present a
case or topic of their own at one conference. They also
have the opportunity to participate in patient home visits,
batey outreach, adolescent support groups, and brothel
outreach and education.
The IFAP Casa
International in La
Romana provides
housing and breakfast for
visiting residents and
students for a monthly
fee. BCRP residents can
apply for the elective
during the months of
September to May for a
minimum of one month.
Spanish fluency is
Clínica de Familia La Romana required. More details at
http://
www.cumc.columbia.edu/pediatrics/global-health/
dominican-republic).
Contact Dr. Lara Antkowiak at the Martha Elliot Health
Center ([email protected]) for more
information. Fellowships
Boston University’s Fellowship in Global Child Health
In 2009, the BCRP partnered with Boston University’s
School of Public Health and Boston Medical Center’s
Department of Pediatrics to establish a four-year
integrated residency/fellowship for candidates interested
in a career in pediatric global health research. For BCRP
residents, the fellowship is only open to applicants in the
Urban Health and Advocacy Track, with integration
beginning after successful completion of the intern year.
Core aspects of the fellowship include:
• Master of Science in epidemiology at Boston
University’s School of Public Health
• Mentored applied research in child health
• Pediatric residency with global health electives
Fellows work closely with faculty members from Boston
University’s Center for Global Health and Development
(http://www.bu.edu/cghd/) in applied global health
research as well as pursue advance training in
epidemiology, biostatistics, research design, monitoring
and evaluation through the BU’s School of Public Health.
Page 69
Boston Children’s Hospital Global Pediatric Fellowship
In Health Service Delivery
The Global Pediatrics Program offers a post-graduate
fellowship program in global health, in collaboration with
Partners in Health (http://www.pih.org/). Fellows combine
work at PIH and Ministry of Health Hospitals in Haiti and
Rwanda with clinical and course work in Boston. While
abroad, fellows work with Rwandan and Haitian
colleagues to improve the quality of pediatric services. Fellows share their clinical experience through bedside
and didactic teaching, and work with local staff to
implement specific programs and projects. Over the last
year, areas of focus for the fellows’ have included
pediatric HIV prevention of vertical HIV transmission,
neonatology, oncology, and care of children with chronic
and non-communicable disease. This focus on global
health service delivery provides critical support to our
partner sites in Haiti and Rwanda, and provides fellows
with an opportunity to develop skills and experience in
clinical care in low resource settings, in medical
education, and in program design, management and
evaluation. Contact Kim Wilson, Fellowship Director, at
Boston Children’s Hospital for more details.
Fellowship in Global Health Research in Pediatric
Hematology/Oncology
The Global Health in Hematology/Oncology Fellowship
Track offers a unique post-residency opportunity for
hematology/oncology fellows to train in aspects of global
health. Mentored clinical and clinical research training will
take place in one of the Dana-Farber/Boston Children’s
Cancer and Blood Disorders Center (DF/BC) partner
institutions in a low or middle income country. Currently
the sites that are available to fellows include any of the
member institutions of AHOPCA (Asociacion de
Hematologia y Oncologia de Centro America y Republica
Dominicana), a pediatric oncology association that has a
designated pediatric oncology facility in every country in
Central America and the Dominican Republic. In addition,
the DF/BC program is developing a pediatric oncology
program at the Black Lion Hospital in Addis Ababa,
Ethiopia. They are also active programs in Egypt
(Children’s Cancer Hospital ‘57357’ in Cairo), SubSaharan Africa, Southeast Asia, and South America.
Fellows spend one to three months per year at one of
these sites during the second, third and fourth years of
their fellowship training. Contact Carlos RodriguezGalindo at the Dana-Farber Cancer Institute for more
information.
Schliesman and Von L. Meyer Travel Funding
The following are examples of Third World travel sites by
residents funded by the Schliesman and Von L Meyer
Funds. These funds are specifically for oversees travel
and medical experience. Approximately 20 residents each
year receive about $1,000 each for this purpose.
Recent Examples of Schliesman Projects that
Residents Have Done
• Pediatric and Endocrine Practice with
Navajo Indians
• Inpatient Pediatric Care Focusing on
HIV and TB
• Infectious Disease Clinic and Teaching
New Mexico
• Pediatric Hospital Care with Health
Frontiers
• Research on Neonatal Care in the
Community
• Providing Pediatric Care in Rural
Settings
• Growth and Nutrition Research Project
Laos
• Diarrhea Illness Management and
Research
• Patient Advocacy with Doctors for
Global Health
• Primary Pediatric Care and Nutrition
Bangladesh
Rwanda
Botswana
Indonesia
Ecuador
Guatemala
El Salvador
Haiti
Recent residents have also completed projects in
Uganda, Ecuador, Liberia, Bolivia, South Africa, Argentina,
Zambia and Vietnam.
Minority Physician Training
The Boston Combined Residency Program in Pediatrics
(BCRP) links the pediatric training programs of Boston
Children's Hospital and Boston Medical Center. The
Page 70
Global Health Experiences
Page 71
strength of Children's Hospital, one of the world's leading
pediatric research and training institutions is combined
with the passion and commitment of Boston Medical
Center's tradition of excellence in clinical research and
primary care among disadvantaged populations.
Historically, the BCRP has attracted an extraordinary
group of skilled and dedicated pediatricians at the
resident, fellow and faculty levels. Given the significant
demographic changes in the proportions of racial and
ethnic minority citizens, as well as the well-documented
racial and ethnic disparities in child health, pediatric
leaders in the 21st century must represent all races and
backgrounds. Despite a multitude of outstanding minority
faculty with expertise in a broad range of areas within
pediatric health, the BCRP is strongly committed to the
continued development of a well-balanced academic
community. In addition, the BCRP recognizes the need for
maintaining the consistent presence of such a talented
racially and ethnically diverse staff and has, therefore,
outlined the following goals with regards to minority
physician training:
• To shape the professional development of a cadre of
minority physicians who will become leaders in all
aspects of Pediatrics including patient care, research,
medical education, health care policy and child
advocacy.
• To increase the number of BCRP housestaff from
underrepresented racial and ethnic minority groups
while maintaining the current standard of excellence.
• To enhance cohesion among trainees and faculty in the
BCRP community.
Three residents celebrating the end of internship
We l c o m e D i n n e r s f o r
Applicants
On the evenings before
interviews, minority applicants
are invited for an informal dinner
to meet housestaff, fellows, and
faculty. Applicants have rated
these dinners very highly because
they provide the opportunity to
discuss a wide range of issues
with current members of the
BCRP community in a relaxed
atmosphere.
Minority Faculty
• Adolphe, Soukaina MD, BMC, Ambulatory Pediatrics
• Alvarez, Norberto MD, , Neurology
• Ballenger, Johnye MD, BCH, General Pediatrics
• Barfield, Wanda MD, BMC, Newborn Medicine
• Bernier, Angelina MD, BMC Pediatric Endocrinology
• Betances, JoseAlberto MD, BMC, Primary Care
• Bezler, Natalie Zimmerman, MD, BCH, Hematology/Oncology
• Bonilla, Francisco MD, PhD, BCH, Allergy/Immunology
• Borten, M. Morris MD, BCH, Primary Care
• Boynton-Jarrett, Renee MD, ScD, BMC, General Pediatrics
• Camargo, Fernando, PhD, Stem Cell Program, BCH
• Castro, Ilse, MD, BMC, Pediatric Radiology
• Corfas, Gabriel PhD, BCH, Neuroscience
• Corzo, Deya MD, BCH, Genetics
• Daniel, Jessica Henderson PhD, ABPP, BCH, Psychiatry/
Psychology
• Davis, Carmon J. MD, MPH, BCH, Primary Care
• Del Nideo, Pedro J. MD, BCH, Chief, Cardiac Surgery
• Drubach, Laura A. MD, BCH, Radiology
• Epee-Bounya, Alexandra A. MD, BCH, Emergency Medicine
• Estrada, Carlos R. Jr MD, BCH, Surgery
• Figueira, Marisol MD, BMC Infectious Diseases
• Friedrich-Medina, Paola M. MD, BCH, Hematology/Oncology
• Fynn-Thompson, Francis MD, BCH, Cardiac Surgery
• Gilson, Diana V. MD, MPH, BCH, Newborn Medicine
• Gonzalez-Heydrich, Joseph M. MD, BCH, Psychiatry/
Psychology
• Gutierrez, Alejandro MD, BCH, Hematology/Oncology
• Gutierrez, Camilo MD, BMC, Pediatric Emergency Dept
• Harper, Marvin B. MD, BCH, Infectious Diseases
• Holder-Niles, Faye, MD, MPH, BCH, Primary Care
• Ibla, Juan C. MD, BCH, Anesthesiology
• Jarrett, Delma, MD, BCH, Radiology
• Joseph, Luc F. MD, BCH, Primary Care
• Korndorfer, Sergio R.M. MD, BCH, Psychiatry/Psychology
• LeClair, Elaine G. PhD, BCH, Psychiatry/Psychology
• Lee, Michelle A, MD, PhD, BCH, Hematology/Oncology
• Lopez, Carlos G. MD, BCH, Psychiatry/Psychology
• Martin, Camilla R. MD, BCH/BIDMC, Newborn Medicine
• McAlmon, Karen R. MD, Winchester Hospital, Newborn Med
• Melendez, Elliott MD, BCH, Emergency Medicine
• Morera, Claudio MD, BMC Gastroenterology
Page 72
• Mustafa-Kutana, Suleiman MD, BMC, Endocrinology
• Navedo-Rivera, Andres T. MD, BCH, Anesthesiology
• Nethersole, Shari MD, BCH, General Pediatrics, Community
Health
• Nurko, Samuel MD, BCH, Pediatric Gastroenterology
• Obeng, Esther, MD, PhD, BCH, Hematology/Oncology
• Ordonez, Claudia L. MD, BCH, Respiratory Diseases
• Perez-Rossello, Jeanette M. MD, BCH, Radiology
• Pierre-Joseph, Natalie MD, BMC, Adolescent Medicine
• Poe, Dennis S. MD, BCH, Otolaryngology
• Poussaint, Tina Y. MD, BCH, Neuro-Radiology
• Prudent, Nicole MD, BMC, Primary Care
• Pursley, DeWayne M. MD, BCH/Beth Israel Deaconess Med.
Ctr., Newborn Medicine
• Ramirez-Schrempp, Daniela MD, BMC, East Boston
Neighborhood Health Center
• Redd, Sharon L. MD, BCH, Anesthesiology
• Rey-Casserly, Celiane M. MD, BCH, Psychiatry/Psychology
• Rodriguez-Galindo, Carlos, BCH/Dana-Farber Cancer
Institute, Hematology/Oncology
• Simmons, Esau M., MD, BCH, Primary Care
• Smith, Vincent C. MD, MPH, BCH, Neonatology, Health
Services Research
• Taylor, George M. MD, BCH, Chief, Radiology
• Testa, Silvia Z. MD, BCH, Newborn Medicine
• Torres, Alcy R. MD, BMC, Neurology
• Tubman, Venee MD, BCH, Hematology/Oncology
• Vives, Patricio F. MD, BCH, Primary Care, Medical Diagnostic
Program
• Ward, Valerie L. MD, BCH, Radiology
• Wilson, Celeste R. MD, BCH, General Pediatrics, Child
Protection Program, Center for Adolescent Substance Abuse
Research
Contacts
For more information about the BCRP Minority Physician
Training Program or any of our programs, please contact:
JoseAlberto Betances, MD
Ambulatory Pediatrics
Yawkey Ambulatory Care Center,
850 Harrison Avenue-5th Floor, Boston, MA 02118.
Phone: (617)414-5946.
Email: [email protected]
Celeste Wilson, MD
Associate Director of Internship Selection
Assistant Professor of Pediatrics, Division of General
Pediatrics, BCH,
300 Longwood Ave., Boston, MA 02115
Phone: (617)355-6369
E-mail: [email protected]
Affiliated Resources for Minority Residents
Office of Diversity and Multicultural Affairs, Boston
University Medical School
715 Albany Street, A-407, Boston, MA 02118.
Phone: (617)638-4163.
Fax: (617)638-4433.
Contact: Rafael Ortega
Office of Student Affairs, Boston University Medical
School
72 East Concord St, Rm A-208, Boston, MA 02118
Phone: (617) 638-4166
Fax: (617) 638-4491
Contact: Catherine Bunker
Minority Recruitment Program, Boston Medical Center
72 East Concord Street, A-210, Boston, MA 02118
Phone: (617) 638-9559
E-mail: [email protected]
Contact: Justin McCummings, MEd, Manager
Visiting Clerkship Program, Harvard Medical School
164 Longwood Avenue, 2nd Floor, Boston, MA 02115
Phone: (617) 432-4422
Fax: (617) 432-3834
Contact: Jo Cole, Project Coordinator
Office for Diversity and Community Partnership
Harvard Medical School
Gordon Hall, Room 151
25 Shattuck Street, Boston, MA 02115-5818
Phone: (617) 432-1037
Minority Biomedical Scientists of Harvard, Division of
Medical Sciences, Harvard Medical School
260 Longwood Ave, Boston, MA 02115.
Phone: (617) 432-1342 or (617) 432-4980
Fax: (617) 432-2644.
E-mail: [email protected]
Contact: Deborah Milstein
Page 73
Salaries and Benefits
Residency appointments are for one-year but house
officers are accepted with the expectation that they will
complete the full course of training needed for board
certification. Depending on track, residents receive their
salary and benefits from Children's Hospital or Boston
Medical Center. Salaries and benefits are not identical,
but the program directors continually review the benefits
packages to be sure they are as comparable as possible.
Salaries
Categorical
Urban Health
PL-1
(2013-2014)
$58,260
(2012-2013)*
$57,118
PL-2
$60,550
$59,363
PL-3
$63,180
$61,942
Interns with first paycheck
Benefits (Both tracks unless otherwise
noted)
deposit and/or advance payment of last month's rent if
required by landlord. This program is administered by
Human Resources. For questions about the program
contact the HR Service Center at (617) 355-7780 or
email [email protected]
• Taxi Voucher Program (both tracks)
Insurance
Residency Benefits
• Professional liability (malpractice) insurance
• Life insurance
• Long-term disability insurance
• Short-term disability insurance (Urban Health and
Advocacy Track)
• Business travel accident insurance
• Subsidized health insurance, including spouse and
children
• Subsidized dental insurance
• HIV supplemental benefit plan
• On call accommodations, including $10 for dinner
when on an overnight shift plus $10 for lunch and $10
for dinner when on a 24 + 4 shift
• Two hospital (BCH & BMC) and two medical school
(Harvard & BU) appointments
• Department pays for USMLE III ($780)
• Department pays 50% of Pediatric Board Certifying
Exam fee
• Department pays American Academy of Pediatrics
dues
• Professional Education Allowance $450.00 per year for
Pl-1 and Pl-2 residents and $550.00 per year for the
Pl-3 residents (Urban Health and Advocacy track)
• Free BLS training for all housestaff
• Free PALS, NRP training courses during orientation and
free refresher courses during senior orientation
• Salary payment during intern orientation
• Limited license application fee (Urban Health and
Advocacy Track)
• Five-day break between PL-1 and PL-2 years
• Flex spending account for child and dependent care
($5,000) and out of pocket medical expenses ($2,000)
• Office of Clinician Support for work-related or personal
problems
• Reimbursement of $500 to attending a medical meeting
once during residency (additional $500, if presenting)
*New salaries not determined yet
Other Employment Benefits
• Vacation (4 weeks)
• Leave of absence: medical, family medical or child
care/adoption, bereavement
• Child Care Center (Categorical track, subsidized,
waiting list)
• Discounted parking in hospital lots with shuttle bus
service
• Free night and weekend parking in patient parking
garage
• Discounted public transportation (MBTA) pass
• Voluntary tax-deferred annuity and investment (403b)
plan
• Lease Guarantee Program (Categorical Track):
Children's Hospital guarantees payment of security
Page 74
Social Benefits
Office of Fellowship Training
• Full day fall and spring retreat
• Intern overnight retreat in September
• Full day junior and senior orientation
• Faculty dinners
• Winter Formal (dinner-dance)
• House staff show
• House staff auction
• Children's Hospital and Boston Medical Center Holiday
Parties
• Use of Harvard University and Harvard Medical School
athletic facilities
Children’s Hospital maintains an Office of Fellowship
Training, run by Jordan Kriedberg, which serves both
clinical and research fellows and offers a multitude of
services. Examples include: conferences and seminars on
topics related to career, family, leadership, mentoring and
funding; clinical and basic science discussion groups; and
journal clubs, social events, group dinners, and a research
day poster session. They also have programs devoted to
getting settled in the Boston area that address topics
such as: housing, finances (Boston on a Budget),
transportation, childcare, family, family activities, sports
and fitness, and arts and entertainment. And, there are
important sections on credentialing, moonlighting, and
preparing a Harvard formatted CV. There is also a fellowto-fellow forum, including a list of housing opportunities.
Funding Sources for Academic Pursuits
• Schliesman 3rd World Awards (6-8/yr) ($700-$1,500/
Award)
• Von L Meyer Travel Awards (12-13/yr) ($700/Award)
• Lovejoy Research Awards (5-8/yr) ($2,000-$6,000/
Award)
• Alpert Research Awards (2-3/yr) ($2,000/Award)
• Paid travel to 1 meeting in senior year ($500/resident)
• Paid travel to meeting, any year, if presenting ($1000/
resident)
Child Care Center
The Children's Hospital Child Care Center provides high
quality childcare for children of hospital employees and
staff, including Categorical
residents. They accept children
three months through five
years without regard to race,
creed, cultural heritage or
religion. They offer a safe,
supportive environment that
fosters self-esteem, growth
and cultural diversity.
The center is located at 21 Autumn Street, just a short
walk from Children's Hospital. It is open year round on
weekdays from 6:30 to 6:00 PM. The center is closed on
weekends and hospital recognized holidays. The center
can accommodate 42 children, but there is nearly always
a waiting list. Reduced tuition rates are available based on
gross family income.
Cost of Living
Boston is relatively expensive, though less so than many
people imagine. The table below compares the cost of
living in different US cities in 2013 based on a hypothetical family income of $100,000. Comparatively, Boston is
similar to Seattle, Houston, New Haven, Los Angeles,
Dallas and Baltimore, less than New York, Washington,
Chicago, Palo Alto, and San Francisco, and more than
Philadelphia, Denver and Cincinnati. BCRP salaries,
which are higher than average, and the extensive benefit
package make the relative costs even lower. In addition,
Boston Children’s Hospital is only 4 blocks from the
elegant suburb of Brookline, with one of the best school
systems in the Boston area, and the hospital is very near
two subway lines that serve the downtown and suburban
neighborhoods. So residents can live in high quality
communities without the expense of a car (or extra car) to
get to work. In our experience, the cost of living is only
restrictive for couples with multiple children and one
salary, particularly if there are extra expenses for
schooling or child care or loan repayments. We are happy
to connect applicants who wish to explore cost of living
with current or recent past residents in similar situations.
For more information about the program, or for a tour,
please call the Center at (617) 355-6006.
Page 75
City
New York, NY
Washington, DC
Palo Alto, CA
San Francisco, CA
Chicago, IL
Oakland, CA
Westwood, CA
Brookline, MA
Houston, TX
Los Angeles, CA
Seattle, WA
Dallas, TX
New Haven, CT
Baltimore, MD
Minneapolis, MN
Atlanta, GA
San Diego, CA
Rochester, NY
Durham, NC
Rochester, MN
Aurora, CO
Davis, CA
Philadelphia, PA
Providence, RI
Burlington, VT
Ann Arbor, MI
Pittsburgh, PA
Charlottesville, VA
Cincinnati, OH
St Louis, MO
Chapel Hill, NC
Cleveland Hts, OH
Coral Gables, FL
Portland, OR
Salt Lake City, UT
Milwaukee, WI
Comparative
Living Cost Percent
2013 Difference Pediatric Residency
$193,830
194
Columbia, Cornell, Mt Sinai
$157,951
158
Children’s National
$157,121
157
Stanford
$134,366
134
UCSF
$122,384
122
Northwestern, Chicago
$107,603
108
Oakland Children’s
$101,341
101
UCLA
$100,000
100
BCRP
$97,119
97
Baylor
$93,334
93
USC
$92,965
93
Univ Washington
$92,254
92
Texas Southwestern
$91,390
91
Yale
$90,881
91
Johns Hopkins
$90,772
91
Minnesota
$90,384
90
Emory
$88,820
89
UCSD
$87,543
88
Rochester
$86,321
86
Duke
$83,997
84
Mayo
$80,016
80
Colorado
$78,014
78
UC Davis
$77,780
78
CHOP
$76,573
77
Brown
$73,669
74
Vermont
$73,125
73
Michigan
$69,840
70
Pittsburgh
$68,329
68
Virginia
$68,074
68
Cincinnati
$67,278
67
Washington Univ
$64,212
64
North Carolina
$63,821
64
Case-Western
$62,878
63
Miami
$62,689
63
Oregon
$60,459
60
Utah
$60,121
60
Med College of Wisconsin
Data from CityRating.com
Page 76
After Hours
With Colleagues
Winter Formal
Each winter, the House Staff Association organizes a
formal dinner and dance for residents and significant
others, as well as invited faculty. All residents are covered
from hospital responsibilities
during this event.
Housestaff Auction
The House Staff Association
organizes an auction every
year in which people donate
anything from cooking
lessons, to a weekend at a
summer home, Red Sox and
Patriots tickets, or a new
Vespa. All proceeds go to the
housestaff association.
The Winter Formal
Tox Rounds
The House Staff Association sponsors frequent evening
get-togethers at restaurants and bars around Boston.
Faculty Dinners
Faculty recommended by the housestaff give small
dinners for 8-20 residents in their homes throughout the
year
Chief Rounds
The chief residents host monthly gatherings at various
locations around the city for residents to relax, unwind
and enjoy each other’s company.
The Show
The BCRP houseofficers produce an annual show, a
comedy "spoof" of the faculty and the vagaries of
residency. The show is a long tradition and provides an
opportunity for housestaff to showcase their remarkable
singing, dancing, instrumental, organizational and
comedic talents (or lack thereof).
Practicing for The Show
Theme Dinners
Subsets of the house-staff
organize dinners for each
other several times a year
around food themes or
special days, such as
European, African, Indian
or Chinese New Year.
Sports
Many BCRP residents
participate in organized
sports. There are BCRP
softball, basketball, and
soccer teams in leagues
throughout Boston, and as Africa Night theme dinner
shown in the box above,
some are winning titles! Other residents take advantage of
hiking and biking trails in Boston and the region or have
memberships in local gyms. Harvard University and
Harvard Medical School athletic facilities are available to
residents for a small fee. The medical school has a
gymnasium, squash courts, extensive exercise equipment
and an outdoor tennis court.
Page 77
Having Fun Together
Winter Formal
Winter Formal Dinner
BCRP Engagement Party
Oktoberfest
Italian Night
Chicago Night
India Night
Chinese Night
Page 78
Having Fun Together
Halloween Party
Apple Picking Weekend
Ice Skating Party
Ice Cream Party
Febrile Seizure
Chicken Pox
Dessert Contest
Page 79
Having Fun Together
Residents Wailing on
Karaoke Night
Housestaff Show
Housestaff-Faculty Chorale Caroling
Intern Trip to Puerto Rico
Extrauniverse eater
Started by “drinking lots of water”
Then cooked 1.3kg of steak at once
Consumed a stratospheric 2.1kg of steak
TIMMY HO
Beef
Fest
and
Mustache Contest
Missing in action: Todd
Lyons
and Ted
Sectish
Shout out to Ben O. and Izzy G. for holding down the ICP and BMC NICU
Had the ULTRA HIGH AVERAGE
Consumed an EXTRAUNIVERSAL AMOUNT OF BEEF – 9.5+ KG
1.4KG per rising senior
Extragalactical eater
Trimmed the spotty mustache
Represented the rising Chiefs and Seniors with
an extraterrestrial 1.5kg of steak
JON HRON
Bowling at Spring Retreat
Two of Many Tox Rounds
Page 80
Thyroid Storm Wins YMCA League
Championship
Thyroid Storm, a basketball team in the West Suburban
Basketball League (WSBL) composed of residents,
former residents, husbands of residents, fellows, and
attendings won the West Newton YMCA League
championship this year.
Thyroid Storm, an intramural basketball team composed
of residents, former residents, husbands of residents,
fellows, and attendings, and winners of the 2009 West
Newton YMCA League championship
Boston
Boston is a medical center like no other, with three major
medical school and about 27 hospitals. Immensely
diverse and vibrant, Boston is a city of some twenty
neighborhoods with Cambridge and Brookline as
bordering communities. Persons of color comprise over
40% of the city's population and over one third of all
students enrolled in Boston Public Schools speak a
language other than English at home.
can also obtain free taxi vouchers. Residents who enroll in
the Hospital's T-Pass Program receive a 40% discount on
monthly MBTA passes. For those who park in more
distant lots, the hospital provides a free shuttle service.
There is also a free shuttle (M2 Shuttle) from the
Longwood Medical Area to Harvard Square in Cambridge.
Residents who do not have their own cars can obtain
Zipcars for occasional use. In addition, Children’s Hospital
provides a free bike cage in the Patient/Family Garage for
employees who cycle to work.
History
Boston was founded in 1630 and is central to American
history. History buffs can trek the Freedom Trail, which
connects many historically important sites, from the Old
State House, where the Declaration of Independence was
Transportation
Boston is blessed with excellent public transportation.
The MBTA subway system (or just "the T") extends
throughout Boston, most of Brookline and Cambridge,
parts of Newton, and to near north and south shore
suburbs. More distant towns are served by commuter
rail. The Longwood Medical area is centered within 2-3
blocks of two different Green line routes. There is also an
extensive bus system, including a shuttle bus from
Harvard University to the Medical School. Parking is
expensive in the Longwood area, but residents who drive
can park in cheaper outlying lots and use Children's
shuttle buses. Residents can park in the patient lot across
from Children's for free at nights (6 pm to 10 am) and on
weekends. Residents who leave the hospital late at night
BMC
CHB
Schematic MBTA map showing the Green, Blue, Red and
Orange Lines and the relative positions of Children's
Hospital and Boston Medical Center
Page 81
The Old North Bridge in Concord.
Site of the 'shot heard 'round the world'
first read, to Paul Revere's House to the USS Constitution
("Old Ironsides"). Sites of pivotal battles at Bunker Hill,
and in Lexington and Concord, are also national
monuments and nearly every town has an historical
society. Old Sturbridge Village is an authentic recreation of
a colonial village, with historic housing and costumed
inhabitants that is located in Sturbridge, an hour west of
Boston. Plimoth Plantation is a similar recreation of the
original Plymouth Colony just South of Boston. And
touristy Salem, home of the infamous witch trials, lies to
the north.
Arts and Culture
Boston is a cultural Mecca. The Boston Symphony is
world-renowned, as is the Boston Pops, but there are
several other professional symphonies and innumerable
civic and college orchestras. In fact, the medical area has
it's own orchestra, the Longwood Symphony, composed
mostly of physicians, that is very high quality. There are
also over 100 amateur choral groups, including many
outstanding ones: the Cantata Singers, the Boston
Cecelia and the Handel and Hayden Society to name just
three. The Museum of Fine Arts and the Isabella Stuart
Gardner Museum are world-class fine art museums and
are only a 3-block walk from Children's Hospital. The
Institute of Contemporary Art and the Fogg Art Museum at
Harvard are two others of note. The Museum of Science
and the Harvard Museum of Natural History and the John
F. Kennedy Library and Museum are also outstanding. The
Boston Lyric Opera highlights a growing opera scene, and
the Boston Ballet is one of the country's best. There are
numerous theater companies including the American
Repertory Theater, The Huntington Theater Company and
the Lyric Stage of Boston. Plus, Boston is a frequent
venue for pre-Broadway tryouts and touring national
companies.
The outstanding Longwood Symphony is composed
predominantly of doctors from the hospital area
usually competitive. Fenway Park is only a 10-minute walk
from the hospital (~5 blocks) and the BankNorth Garden,
where the Celtics and Bruins play, is a short subway ride.
The Patriots and Revolution play in Foxboro, MA, which is
about 20 miles south of the city.
For those who prefer participatory sports, the Harvard
University Athletic Facilities and Harvard Medical School
Athletic Facilities are available for a small fee. Harvard
University offers facilities for indoor and outdoor tennis,
swimming and diving, ice skating, jogging, squash,
basketball, baseball, field hockey, lacrosse, rugby,
volleyball, rowing, and sailing, plus others, and extensive
exercise and weight training. The Medical School has a
gymnasium, squash courts, cardiovascular and strength
training equipment and an outdoor tennis court. Groups
like the Boston Ski and Sports Club organize year round
sports leagues, as well as sporting trips.
Boston is a great running and biking city. There are
numerous Bikeways, particularly along the Charles River
and through the 'Emerald Necklace' string of parks, which
Sports
Boston is a great sports town. The Red Sox, Celtics,
Bruins and Patriots have been outstanding in recent
years. The Revolution (soccer) are less impressive but
Fenway Park is only 5-blocks from Children's Hospital
Page 82
Guarantee program. If a landlord requires advance
payment of the last month's rent and/or a security
deposit, Children's Hospital will guarantee payment to the
landlord. Real estate information is available from a
number of sources including the Boston Globe, which
also publishes a useful rental search engine. Another good
source for rental housing is Rental Beast. Other useful
sources include the Harvard Housing Office and Craig’s
List and the extensive information on Housing and other
topics on the website of the BCH Office of Fellowship
Training website (http://www.childrenshospital.org/cfapps/
research/data_admin/Site1002/mainpageS1002P14.html).
Bob Vinci and BCRP residents with the Stanley Cup
lies just 3 blocks from the Longwood area. The same
routes are popular for running. For serious runners, the
famous Boston Marathon occurs each spring on Patriots
Day, which is a local holiday, allowing those who wish to
run, to participate. Many housestaff and faculty do.
Golfers have many opportunities in the Boston area. There
are 102 18-hole public courses within an hour of Boston
including many award winning courses, such as Pinehills
in Plymouth, Red Tail in Devens, Shaker Hills in the town
of Harvard, and George Wright in Hyde Park, a Boston
Municipal course designed by Donald Ross.
Housing and Schools
Housing is relatively expensive in Boston, roughly
equivalent to Seattle, though less than New York City,
Washington DC, or the major cities in California. To
compensate, the BCRP offers higher than average
salaries. In addition, Children's Hospital offers a Lease
Boston and Cambridge schools are variable but the
schools in Brookline, Newton and many other suburban
communities are outstanding. The Greatschools website
contains considerable information about individual
schools.
Kids
Boston is a great city for kids because there are so many
things to see and do in the city and nearby, and because
the transportation system is safe and extensive. The
Children's Museum and the Museum of Science are each
among the best in the country. The nearly free ($1 per year
for kids) Community Boating Program is also outstanding
and is an incredible bargain. It offers sailing, windsurfing
and kayaking on the Charles (lessons included). A good
list of activities for kids can be found at Disney Family,
Fairly Odd Mother, Family Days Out, Family Friendly
Boston, and at Boston Central. The latter site also
contains lots of useful information about Boston suburban
communities.
Children’s Hospital has its own Child Care Center and
there is a Bright Horizons Family Center at the nearby
Landmark Center that is available to employees of
Harvard Medical School and the Longwood Area
Shaker Hills public golf course
Construction Zone at the fabulous
Boston Children's Museum
Page 83
Boston side of the Charles River esplanade
Community Boating on the Charles River
Waterfront
July 4th fireworks over the Charles
hospitals. Kathleen Greer Associates (KGA, Inc) is
Children's Employee Assistance and Information Program.
They will help residents find childcare services.
For grown-up kids, the Boston Event Guide is a collection
of local events for those nights off.
Restaurants and Night Life
Boston is a world-renowned center for ideas and learning.
Some 65 colleges, universities and other institutions of
higher education attract more than 200,000 students. No
other major city has such a high proportion of students.
Their energy invigorates the city's restaurant and nightlife,
from club hopping on Lansdowne Street to the live music
scene in the cafes and coffeehouses. Live music includes
Latin, jazz, blues, gospel, folk and classical. Boston is a
great restaurant town. There are many outstanding
restaurants and enormous variety. The restaurant reviews
in the Boston Globe and Zagats are particularly useful.
Downtown Boston is a peninsula, surrounded by water on
three sides: the harbor on the east and north, and the
Charles River on the west. Unlike many cities, much of the
waterfront is recreational space. The harbor offers boating
of all kinds, fishing, and a number of community beaches.
There is a Harborwalk with many parks and other venues.
The Harbor Islands are part of the National Park system
and are accessible by ferry for day trips and picnicking.
The Charles River side is even more scenic, with a 17-mile
Esplanade along the shore, the Hatch Shell for summer
concerts, the famous Duck Boat Tours and a Community
Boating Program that allows individuals or families to sail
any of a fleet of 113 boats (or kayaks or wind surfers) in
the Charles River Basin for a remarkably low fee and that
provides children with instruction and all-summer boating
for $1. Every July 4th, the Esplanade is packed with
crowds for a spectacular Boston Pops concert and
fireworks show. The Charles River is also known for its
rowing and sculling. The famous Head of the Charles
regatta, the world's largest 2-day rowing event, is held
every year in October.
Boston Neighborhoods and Nearby
Communities
Boston is a city of neighborhoods. Beacon Hill dates from
the 18th century and features cobblestone streets,
gaslights and brick front Georgian townhouses. Back Bay
was built a century later by the Boston elite and contains
Page 84
homes in parts of Jamaica Plain, West Roxbury and
Dedham, which are reasonably close to the Longwood
Medical Area.
Brookline is a very high quality suburb that begins just 3
blocks west of the Longwood Medical Area. It has superb
schools and shops and multiple subway lines. Although
homes in Brookline are extraordinarily expensive,
condominiums and apartments are more reasonably
priced, and many interns and residents live there.
Georgian homes in Beacon Hill neighborhood
gorgeous Victorian townhouses with wide streets and
small front gardens. It also includes the fanciest shopping
area in Boston, along lower Newbury and Boylston streets
plus the Prudential Center and Copley Place shopping
centers. The old North End, which dates from Colonial
times, still retains much of its strong Italian heritage. The
South End is a vibrant newly restored, cosmopolitan
district and includes the Theater District and many of the
best restaurants. Bay Village is a charming historic part of
the South End. The Harbor area is also newly renovated.
Many wharves have been recycled as high-end
condominiums. Chinatown is Boston's center for the
Asian community. The Fenway area, which is closest to
the hospitals and includes Fenway Ball Park, has a
particularly high concentration of student housing, cultural
organizations and parkland.
Charlestown, Brighton, Allston, South Boston, East
Boston, Roxbury, Dorchester, Mattapan, Jamaica Plain,
West Roxbury, Hyde Park and Roslindale are other Boston
neighborhoods. Some housestaff have recently purchased
Harvard Square, at the heart of the University, is an area of
shops and retail stores, ethnic restaurants and cafés
Cambridge lies just across the Charles River from Boston
and is home to Harvard University and MIT. Many
housestaff enjoy the intellectual ferment of Cambridge
and live in the residential areas near Harvard Square.
There is a regular shuttle bus from Harvard Square to
Harvard Medical School and good subway connections.
Suburban Communities
Greater Boston is actually a conglomerate of over 100
small to medium-sized towns and villages, most of which
were incorporated in the 17th and 18th centuries. As such
it differs greatly from the more homogeneous towns in
many other parts of the country, because each of the
Greater Boston communities has its own character,
government and school system. The range of variation is
quite remarkable. Marblehead is centered on sailing,
Lincoln and Hamilton on horseback riding, Lexington and
Concord on colonial history, and so on.
Within Massachusetts
Beaches
The Massachusetts shoreline is dotted with beaches,
some, like Revere Beach, even serviced by the MBTA.
Beaches on the outer arm of the Cape and north of the
Cape tend to have colder water than beaches on the
Horseneck beach
Page 85
south coast of the Cape, on Martha's Vineyard and
Nantucket, and lining Long Island Sound, which are
brushed by fringes of the Gulf Stream. It's difficult to
choose the Perfect Beach because tastes and uses vary,
but we recommend Horseneck Beach in Westport, MA,
near the Massachusetts-Rhode Island border. This 2.5mile beach features beautiful dunes, warm(ish) water and
adequate parking.
The Cape and Islands
Cape Cod is Boston's summer vacation spot. It offers a
wide variety of attractions. From quaint, historic old towns
like Sandwich, founded in 1638, or charming, grayshingled Chatham, to the Cape Cod National Seashore,
with its 40 miles of ocean beaches, dunes, salt marshes
and pine barrens, to free-living, freethinking Provincetown
at the tip of the Cape. There is a ferry to Provincetown
from Boston.
Nantucket and Martha's Vineyard are reached by ferry
from Woods Hole or Hyannis on the Cape. Nantucket
Town is historic and charming, with cobblestone streets
and 18th century homes. Outside the town one finds an
otherworldly landscape of ponds, thickets, moors and
heath. There are 80 miles of gorgeous beaches, great
biking trails and the village of Siaconset ('Sconset) with its
privet hedges and rose-covered trellises. Martha's
Vineyard is more varied and more Victorian, but also
charming.
Rockport and Cape Ann
Cape Ann, on the North Shore of Boston, extends from
the classic fishing port of Gloucester around to the quaint
English-like village of Annisquam. It includes Rockport, a
charming artist's colony, and the bizarre Hammond
Castle.
Marblehead harbor
Marblehead
Lying between Salem and Cape Ann, Marblehead was
one of the earliest and richest settlements in America. This
charming early Colonial era town with narrow streets has
over 300 pre-Revolutionary War homes and overlooks a
spectacular harbor filled with boats. Called the Yachting
Capital of America, Marblehead was the birthplace of the
American Navy and retains its sailing focus.
Berkshires and Tanglewood
The Berkshires refers to the area around Lenox and
Stockbridge in the western portion of Massachusetts. It is
a region of green hills, quaint New England villages, the
Norman Rockwell Museum, and Tanglewood, the summer
home of the Boston Symphony Orchestra.
Williamstown
A beautiful New England town in the mountainous heart of
the northern Berkshires, Williamstown is home to two
extraordinary art museums—the Sterling and Francine
Clark Art Institute and the
Williams College Museum
of Art—and the renowned
Williamstown Theatre
Festival, arguably America's
premier summer theater.
The exceptional collection
of impressionist paintings
alone makes the Clark
worth a visit.
Amusement Parks
Cisco Beach on Nantucket Island
Canobie Lake Park lies just
over the New Hampshire
border and is a beautiful,
old-time (110-years old),
One of 36 Renoir's at the
Clark Art Institute
Page 86
family-oriented park that is especially appropriate for
preschoolers to preteens. Lake Compounce in Bristol, CT
is another excellent family-oriented park. Six Flags
Amusement Park is the big-coaster-type park, near
Springfield, MA, that is more oriented to teens and adults.
Six Flags also has an excellent water park, but the closest
big water parks are Water Country in Portsmouth, NH and
Water Wizz, in Wareham, MA. Water Country is especially
good and not that far.
New England Getaways
One of Boston's gifts is its proximity to great natural
beauty. Right in the city is the famous ring of connected
parks called the Emerald Necklace, which includes the
Arnold Arboretum. A short drive will get you a relaxing
weekend in the Berkshire Mountains of Western
Massachusetts, or to hiking and biking in the White
Mountains of New Hampshire. A free day from the
The Fenway, part of the Emerald Necklace system of parks,
lies just 3-blocks from Children's
'Rosecliff', of Great
Gatsby fame, are worth
the trip, as is the Ocean
Drive along Newport's
spectacular rocky shore.
Mystic Seaport
Site of shipbuilding since
the 17th century, tiny
Mystic, CT contains
Mystic Seaport, the
country's premier
maritime museum. There
is also an aquarium and,
nearby, two of the world's
largest casinos:
Foxwoods and Mohegan
Sun.
The Breakers
Maine Coast
Mini-Dodgem cars at Canobie Lake Park
hospital could mean escaping to scenic Vermont, or to
miles of rugged coastline in Maine or to the beaches of
Cape Cod. Take a ferry ride to the islands of Martha's
Vineyard or Nantucket. And, New York City is only fourhour drive from Boston. The Getaway Guides and Go New
England are good places to start looking.
Newport
Newport is both an historic town with more 17th and 18th
century homes than any other place in the country, and
the fabled summering place of the fabulously wealthy
during the Gilded Age at the end of the 19th century. The
mansions, like the Vanderbilt's opulent 'The Breakers' or
Maine is famous for it's pinewoods, rugged, rocky shore,
and lobsters. Southern Maine is more accessible and also
beautiful, but 'Downeast' Maine, north of Portland, is even
more so, particularly the areas around Boothbay Harbor,
Camden, Blue Hill and Bar Harbor. Bar Harbor is located
on Mt Desert Island, which also houses Acadia National
Park, one of the most popular national parks in the US.
Acadia has the highest mountains on the ocean north of
Rio de Janeiro and the only fiord in the Americas. The
scenery is spectacular and is amplified by an extraordinary variety of outdoor activities (hiking, biking, rock
climbing, canoeing, sea kayaking, sailing, deep sea
fishing, whale watching), along with outstanding
restaurants, art galleries and opportunities for antiquing.
Page 87
Bass Harbor light on the Maine coast
Lakes
There are many beautiful lakes in New England. Indeed
many in northern Maine are wilderness lakes, only
accessible by floatplane or logging road. Nearer Boston,
Lake Winnipesaukee in mid-New Hampshire is a
recreational paradise, especially along its western shore.
The Squam Lakes, just south of the White Mountains,
depicted in the movie "On Golden Pond", are more
peaceful. Sebago Lake in southern Maine is also a
popular resort area.
Outdoor Activities
Hiking
The hiking in New England is some of the best anywhere.
The Appalachian Train extends through Massachusetts,
Vermont and New Hampshire, terminating at Mt Katahdin
in Maine. The White Mountains in New Hampshire are
among the very best with 48 peaks above 4000 ft and
Lake Winnipesaukee at sunset
many dozens of hikes. Some of these are described at
Hike the Whites. The Appalachian Mountain Club, GORP
and Trails.com are also excellent resources. Acadia
National Park is another extraordinary place for hiking.
The 120 miles of hiking trails were mostly built in the early
20th century and vary from gentle woodland and
oceanside walks to exhilarating cliff climbs along ledges
assisted by iron ladders and steps cut into the rocks. Mt
Monadnock is
another excellent
spot for hiking. The
solitary mountain is
located just over the
Massachusetts-New
Hampshire border,
about an hour from
Boston, and has
excellent views. The
surrounding region
is charming and
contains numerous
prototypical New
England villages.
Biking
Biking is also
excellent in New
Beehive Trail in Acadia National
England, both
Park
mountain biking and
trail riding, including
numerous rides in the Boston area. Acadia National Park
has 50 miles of beautiful, fine gravel carriage roads, which
wind among the lakes and mountains, with fabulous views
and some exciting ups and downs. They were built at
great expense by John D. Rockefeller, Jr. between 1913
and 1940, and are now used for biking and horseback
riding (no motor vehicles allowed). The trails are listed in
the Top 10 biking trails in the US. On Cape Cod, the 22-
Pond along the Cape Cod Rail Biking Trail
Page 88
mile Cape Cod Rail Trail is newly refurbished this year. It
extends from Dennis to Wellfleet along ponds, salt marsh
and cranberry bogs. In Rhode Island, the 14.5-mile, paved
East Bay Bike Path hugs the coast from Providence to
Bristol, passing a wildlife refuge, salt- and freshwater
marshes and an open panorama of Narragansett Bay. For
mountain bikers, Sunday River Ski Resort in Maine offers
weekend lift service to 15 trails covering 20 miles of
terrain.
Canoeing and Kayaking
In the Boston area there is very enjoyable canoeing on the
Charles River and on the Concord-Sudbury-Assabet
Rivers. The latter offers an opportunity to paddle under
the historic Old North Bridge and into the Great Meadows
National Wildlife Refuge beyond. For those who desire
more adventurous canoeing or kayaking, the New England
Division of the American Canoeing Association offers
cruises and instruction and times of recreational water
releases from dams. The enormous numbers of lakes in
the northern Maine Wilderness offer exceptional
opportunities for extended fishing, camping and canoeing
trips. One of the most famous is the trip down the
Allagash Wilderness Waterway. For something more
casual on a summer day, Farmington River Tubing in New
Canoeing under the Old North Bridge on the Concord River
Hampshire provides a cooling 2.5-mile tube ride down the
Farmington River and a bus ride back to the launch point.
Skiing and Boarding
New England has 68 downhill ski areas, from small familyrun operations to giant destination resorts. The snow
conditions are less predictably excellent than in the West,
but the resorts are more accessible to those wanting day
trips. The Blue Hills is a small area just south of the city
and offers night skiing. Larger areas within 1 to 2 hrs
distances include Waterville Valley, Sunapee and Loon in
New Hampshire. The largest and most popular areas, like
Killington, Stratton, Sugarbush and Stowe in Vermont;
Cannon and Wildcat in New Hampshire; and Sunday River
in Maine are 2-3 hours driving distance. Sugarloaf, a
terrific mountain in Maine, is even a bit further. Virtually all
New England ski areas also cater to snow boarders.
For cross-country skiing, it's hard to beat the trail system
in Jackson, NH, which is also about 2-3 hrs away. Imagine
a whole New England Village dedicated to Nordic skiing,
with a white-steepled church, covered bridges, rivers with
cascading waterfalls, sundry eateries, charming country
inns and 100 miles of cross country ski trails. Its no
wonder that the Jackson Ski Touring Foundation is listed
#1 in the US. For cross-country skiing close to Boston,
the Weston Ski Track is recommended.
Jackson Ski Touring
Page 89
Fishing
Boston is a worldwide destination fishery for striped bass,
blue fin tuna, blue fish, flounder and cod. Salt-water
fishing is especially popular, and colleagues with boats
and experience are available within the program to
introduce interested individuals to the sport. Boston
Harbor has been completely cleaned up beginning in the
1980s with the installation of the massive Deer Island
water treatment plant, and its waters are now pristine.
Striped bass migrate North to Boston harbor in early May,
and the 39 Boston Harbor Islands provide ideal structure
and a very picturesque venue for striped bass fishing. In
August and September, medium sized blue fin tuna (30 to
120 lbs) move into Cape Cod Bay near Boston, and feed
actively on the surface, becoming prime targets for light
tackle fly and spin fishing anglers. Tuna travel with
whales, providing interesting whale watching
opportunities on Stellwagen bank while searching for the
elusive schools of tuna. Bluefish arrive around the same
time as the tuna, and provide exciting surface action as
they feed on schools of baitfish in Boston Harbor.
Summer is the prime season for salt-water fishing in
Boston, but for the dedicated fisherman or woman, large
cod fish (up to 50 lbs.) can be successfully targeted with
jigs year-around in waters just outside Boston Harbor. All
fish species are safe to eat due to the successful harbor
clean up. Fresh water fishing is also popular. Freshwater
Faculty member Tom Look with a striped bass caught in
Boston Harbor on a fly rod
species include: large and small mouth bass, lake trout,
perch, walleye, northern pike and land-locked salmon.
Fly-fishing for trout in New England streams is also
popular. And, for the hardy there is ice fishing in the
winter.
Page 90
Fellowships
A variety of fellowship programs are offered at Children's
Hospital and Boston Medical Center for qualified
physicians who have completed their residency training
and want to prepare for academic careers in pediatrics or
allied fields. The fellowships and fellowship contacts are
listed here for intern applicants who want to explore
fellowship opportunities as well as the BCRP residency.
Boston Children’s Hospital
Adolescent Medicine
S. Jean Emans, M.D.
Allergy/Immunology
Hans C. Oettgen, M.D., Ph.D.
Cardiology
David W. Brown, M.D.
Child Neurology Residency
Mustafa Sahin, PhD, M.D., Dir Residency Selection
David K. Urion, M.D., Program Director
Clinical Neurophysiology/Epilepsy Fellowship
Blaise F. D. Bourgeois, MD
Critical Care
Jeffrey P. Burns, M.D., M.P.H.
Developmental Medicine
Developmental-Behavioral Pediatrics
Lisa Albers Prock, M.D., M.P.H.
Neurodevelopmental Disabilities
David K. Urion, M.D.
Emergency Medicine
Global Health Services Delivery
Kim A. Wilson, M.D.
Hematology/Oncology
David A. Williams, M.D.
Global Health Research Fellowship
Carlos Rodriguez-Galindo, M.D.
Neuro-oncology Fellowship
Mark W. Kieran, M.D., Ph.D.
Palliative Care Fellowship
Joanne Wolfe, M.D.
Infectious Diseases
Tanvi S. Sharma, M.D.
Medical Toxicology
Michele M. Burns Ewald, M.D.
Nephrology
David M. Briscoe, M.D.
Newborn Medicine
John A. F. Zupancic, M.D., Sc.D.
Psychiatry
Enrico Mezzacappa, M.D.
Respiratory Diseases
Debra M. Boyer, M.D.
Rheumatology
Hans C. Oettgen, M.D., Ph.D.
Sports Medicine
Pierre A. d’Hemecourt, M.D.
Joshua Nagler, M.D.
Boston Medical Center
Endocrinology
Child Neurology Residency
Joseph A. Majzoub, M.D.
Karl Kuban, M.D.
Gastroenterology and Nutrition
Developmental and Behavioral Pediatrics
Paul A. Rufo, M.D.
Stephanie Bienner, M.D.
General Pediatrics
General Academic Pediatrics
General Academic Pediatrics
Joanne E. Cox, M.D.
Pediatric Environmental Health
Alan D. Woolf, M.D., M.P.H.
Harvard Pediatric Health Services Research
Jonathan Finkelstein, M.D.
Genetics
Amy E. Roberts, M.D.
Arvin Garg, M.D.
Global Child Health Fellowship
Julie Herlihy M.D
Infectious Diseases
Ellen R. Cooper, M.D./Stephen I. Pelton, M.D.
Pediatric Emergency Medicine
David Dorfman, M.D.
Page 91
Results
What Our Residents Do Next
The BCRP specializes in training academic pediatricians.
Eighty six percent of the program's graduates during the
past five years have continued on a pathway leading to an
academic career. This is an exceptionally high percentage.
The residents enter a wide variety of fields. Although
some go to programs across the country, about 80%
continue their training at Boston Children’s Hospital.
Careers of Our Residents
The "graduates" of the residency program during the past
40 years best illustrate the success of our approach to
training and our ability to achieve our goal of training
leaders in American pediatrics. To evaluate our success,
one must consider the cohort who completed their
residencies between 1968 and 1992. More recent
residents are still finishing their training or are relatively
early in their academic careers and have not reached their
full potential.
Leadership Positions
The 1968-1992 cohort contains 559 individuals of whom
we have follow-up information on 87 percent (as of 2007).
Seventy-one percent of these are currently in academic
medicine or are recently retired from academic positions
and 44 percent are leaders in academic medicine. An
additional 15 percent hold senior academic ranks. Thus,
83 percent of the group in academic medicine have
reached positions of prominence. An additional 7%
have had major success within the biotech or business
community, as authors, or in other medical pursuits.
Select Societies and Awards
As of 2007, a remarkable number of the 1968-1992
graduates of our residency program were members of
institutions that guide American medicine and pediatrics
and that select their members based on scientific
accomplishment.
• National Academy of Sciences and/or Academy's
Institute of Medicine - 12 members
• American Society of Clinical Investigation - 36
members
• American Pediatric Society - 84 members
• Society for Pediatric Research - 112 members
What Residents (N=430) Did in the Year
Following Residency (2002-13)
Number
%
462
90
Academic Career
Second residency or fellowship
376
82
Chief residency
57
12
Faculty
29
6
Practice Career (Private practice,
neighborhood health centers & HMOs)
51
10
Residencies and Fellowships Chosen
(2002-13)
No.
No.
Hematology/Oncology
59 Neurology
16
Academic Pediatrics
46 Pulmonary
7
Cardiology
42 Allergy/Immunology
7
Emergency Medicine
39 Global Health
7
Critical Care
32 Rheumatology
7
Neonatology
27 Adolescent Medicine
7
Infectious Diseases
24 Genetics
3
Gastroenterology
22 Nephrology
2
Endocrinology
21 Other
38
1968-1992 Residents: Current Jobs
• Academic
- Senior Administrator or Dean
- Department Chair
- Division Chief
- Head of Major Clinical Program
- Sr Researcher/Research Administrator
- Educator
- Senior Academician
- Junior Academician
• Nonacademic
- Hospital-based private practice
- Private practice
- Authors
- Business, Biotech or Biopharm
- Other
71%
4%
6%
18%
9%
5%
2%
15%
12%
29%
3%
18%
0.5%
4%
3.5%
Page 92
National Academy of Science or Institute of
Medicine
Residents (1968-1998) in the National Academy of
Sciences and/or the Institute of Medicine
Nancy C. Andrews, MD, PhD
Donald M. Berwick, MD
Jan L. Breslow, MD
Jonathan E. Fielding, MD
Jonathan D. Gitlin, MD
Alan E. Guttmacher, MD
Margaret K. Hostetter, MD
Isaac S. Kohane, MD, PhD
Philip J. Landrigan, MD
Stuart H, Orkin, MD
Philip A. Pizzo, MD
Mark C. Rogers, MD
Alan L. Schwartz, MD, PhD
Society for Pediatric Research Young Investigator
Award
Since the inception of the SPR Young Investigator award
in 1983, Children's and/or BCRP residents have won 39%
of the awards given.
Residents who won the SPR Young Investigator
Award (year awarded)
Alan L. Schwartz (1983)
Alan M. Krensky (1985)
Edward V. Prochownik (1986)
Roger E. Breitbart (1988)
Nancy C. Andrews (1994)
Todd R. Golub (1997)
Louis J. Muglia (1999)
Joel N. Hirschhorn (2004)
Brian J. Feldman (2008)
Loren D. Walensky (2009)
Atul J. Butte (2010)
Kimberly Stegmaier (2012)
Mead Johnson Award for Research in Pediatrics
The 1968-1996 graduates won 35% of the E. Mead
Johnson awards (the most prestigious research award in
pediatrics) that could have been won by their classes.
Overall, Children’s trainees and faculty have won 37% of
the 154 awards given since the inception of the award in
1939 and 47% of the awards in the past two decades.
Residents (1968-1996) who were awarded the
E. Mead Johnson award for research in pediatrics
(year awarded)
Erwin W. Gelfand (1981)
Samuel E. Lux IV (1983)
John A. Phillips III (1984)
Jan L. Breslow (1984)
Raif S. Geha (1986)
Stuart H. Orkin (1987)
Alan L. Schwartz (1993)
Margaret K. Hostetter (1995)
Alan M. Krensky (1995)
Jonathan D. Gitlin (1998)
Jonathan D. Gitlin (1998)
Steve A.N. Goldstein (2001)
Nancy C. Andrews (2002)
David S. Pellman (2006)
Marc E. Rothenberg (2007)
Todd R. Golub (2008)
Victor Nizet (2008)
Joel Hirschhorn (2011)
Scott A. Armstrong (2012)
William Pu (2013)
Page 93
Examples of Resident Careers
These examples are chosen from more than 250 leaders
who graduated from residency between 1968 and 1992.
The data were compiled in August 2007 and have been
updated where changes in status are known. The year of
graduation from residency is listed in parentheses.
Senior Administrators
Steven M. Altschuler, MD (1982) - President and CEO,
Children’s Hospital of Philadelphia
Jonathan R. Bates, MD (1976) - President and CEO, Arkansas
Children's Hospital.
Donald M. Berwick, MD (1977) - Senior Fellow at the Center for
American Progress. Previously, Director, US Government
Centers for Medicare and Medicaid Services. Previously,
President and CEO of the Institute for Healthcare Improvement;
Lecturer, Department of Health Policy and Management,
Harvard.
Kevin B. Churchwell, MD (1990) - Chief Operating Officer and
Chief Medical Officer, Boston Children’s Hospital. Previously, Sr
Vice-President, Nemours and CEO, Nemours/Alfred I. duPont
Hospital for Children in Wilmington, DE., and CEO and Executive
Director, Monroe Carell Jr. Children's Hospital, Vanderbilt.
Patrick Conway (2005) - Chief Medical Officer and Director of
the Office of Clinical Standards and Quality, US Government
Centers for Medicaid and Medicare Service.
Alan L. Goldbloom, MD (1976) - President and CEO, Children’s
Hospitals and Clinics of Minnesota, St Paul, MN, Emeritus Vice
President and CEO, Hospital for Sick Children, Toronto, Canada.
Steve A. N. Goldstein, MD, PhD. (1989) - Provost, Brandeis
University. Previously Chair, Dept of Pediatrics, Univ. of Chicago.
Raymond S. Greenberg, MD, PhD (1983) - President, Medical
University of South Carolina.
Alan E. Guttmacher, MD (1985) - Director, National Institute of
Child Health and Human Development. Previously, Deputy
Director, National Human Genome Research Institute, Director,
Office of Policy, Communications and Education, NIH
Alan M. Krensky, MD (1980) - Senior Investigator, National
Cancer Institute. Previously, Deputy Director, NIH and exAssociate Dean for Child Health, Stanford Medical School.
Currently, Senior Investigator, NIH.
Mark C. Rogers, MD (1972) - Previously, Vice Chancellor of
Health Systems, Duke Univ. Med. Ctr, Senior VP, Perkin-Elmer,
and CEO Duke Hospital. Chairman and CEO of Bradmer
Pharmaceuticals, Chairman of Cardiome Pharma Corp, and
Chief Executive Officer of Paramount Capital Inc. Currently,
Accounts Manager of AtCor Medical Limited.
Stephen P. Spielberg, MD, PhD (1976) - Previously, Dean,
Dartmouth Medical School, Vice President of Pediatric Drug
Development at Johnson & Johnson, and Deputy Commissioner
of the Food and Drug Administration (FDA) for Medical Devices,
Drugs, Biologics and Tobacco Products, and Special Medical
Programs. Currently, Professor of Pediatrics and of
Pharmacology and Toxicology at Dartmouth Medical School.
Donald L. Weaver, MD (1976) - Rear Admiral, US Public Health
Service and previously, Acting Surgeon General, Deputy
Associate Administrator for Primary Health Care in the Health
Resources and Services Administration, and Director National
Health Service Corps.
Deans
Herbert T. Abelson, MD (1971) - Previously, Associate Dean of
Admissions, Chicago, Chair, Dept. of Pediatrics, Univ. of
Chicago, and Chair, Dept. of Pediatrics, Univ. of Washington,
Seattle.
Nancy C. Andrews, MD, PhD (1990) - Dean, Duke University
School of Medicine. Previously, Dean for Basic Sciences and
Graduate Studies, Harvard Medical School and Investigator,
Howard Hughes Medical Institute.
Ellis D. Avner, MD (1978) - Associate Dean for Research and
Director, Children's Research Institute, Medical College of
Wisconsin. Ex-Chair, Dept. of Pediatrics, Case-Western Reserve
Univ. School of Medicine.
W. Edwin Dodson (1970) - Assoc Vice Chancellor & Assoc Dean
for Admissions and Continuing Educ, Washington Univ, St Louis.
S. Bruce Dowton, MD (1984) - Principal of Dowton Consulting
International, Inc. Previously, Dean of Medicine and Professor of
Pediatrics, University of New South Wales, Sydney, Australia,
and Senior Vice-President and CEO, Partners Harvard Medical
International.
Lewis First, MD (1984) - Chair of Pediatrics and, previously,
Senior Associate Dean, Educational and Curriculum Affairs,
Vermont.
Philip A. Pizzo, MD (1973) - Dean Emeritus, Stanford University
School of Medicine. Emeritus Chair of Pediatrics and Physicianin-Chief, Boston Children’s Hospital.
Norman Rosenblum, MD (1984) - Associate Dean, PhysicianScientist Training and Assoc Director, McLaughlin Centre for
Molecular Medicine. Univ Toronto and Hosp for Sick Children.
Department Chairs
Harvey J. Cohen, MD, PhD (1973) - Chair Emeritus, Dept. of
Pediatrics, Stanford.
J. Devn Cornish, MD, PhD (1981) - Chair Emeritus, Dept. of
Pediatrics. Currently, Vice-Chair for Faculty Development,
Emory.
Erwin W. Gelfand, MD (1970) - Chair, Dept. of Pediatrics,
National Jewish Hospital, Denver.
Paul H. Dworkin, MD (1976) - Chair of Pediatrics and
Physician-in-Chief, Connecticut Children’s Medical Center.
Margaret K. “Peggy” Hostetter, MD (1978) - Chair Emeritus,
Dept. of Pediatrics, Yale. Currently Director of Infectious
Diseases, Cincinnati Children’s Hospital.
Jonathan D. Gitlin, MD (1981) - Chair Emeritus, Dept. of
Pediatrics, Monroe Carell Jr. Children’s Hospital, Vanderbilt
University.
Page 94
Bruce Korf, MD, PhD (1983) - Chair, Dept. of Genetics,
Alabama.
DeWayne M. Pursley, MD (1987) - Neonatologist-in-Chief, Beth
Israel Deaconess Medical Center, Harvard Medical School
Philip J. Landrigan, MD (1970) - Professor & Chair, Dept. of
Preventive Medicine and Director of the Children's
Environmental Health Center, Mt Sinai, NY.
David S. Rosenblatt, MD (1976) - Chair, Dept. of Human
Genetics, McGill.
Nobutake Matsuo, MD (1971) - Chairman Emeritus, Dept of
Pediatrics, Keio University School of Medicine, Tokyo, Japan.
John F. Modlin, MD (1974) - Chair, Dept. of Pediatrics,
Dartmouth.
E. Richard Moxon, MB BCh, FRS (1972) - Professor and Chair,
Dept. of Paediatrics, University of Oxford.
Richard "Rick" J. O'Reilly, MD (1973) - Chair, Dept. of
Pediatrics, Memorial Sloan-Kettering Cancer Institute
Stuart H. Orkin, MD (1975) - Chair, Dept. of Pediatric Oncology,
Dana-Farber Cancer Institute, Harvard Medical School,
Investigator, Howard Hughes Medical Institute.
Scott Pomeroy, MD, PhD (1985) - Neurologist-in-Chief and
Chair, Dept. of Neurology, Boston Children’s Hospital, Harvard.
Nina F. Schor, MD, PhD (1984) - Chair, Dept. of Pediatrics,
Rochester.
John R. Schreiber, MD (1983) - Chair, Dept. of Pediatrics, Tufts
Alan L. Schwartz, MD, PhD (1979) - Chair, Dept. of Pediatrics,
Washington Univ., St Louis.
Charles F. Simmons Jr, MD (1983) - Chair, Dept. of Pediatrics,
Cedars-Sinai Medical Center, Los Angeles.
Robert J. Vinci, MD (1980) – Chair, Dept. of Pediatrics and
Pediatric Program Director, Boston Medical Center, Boston
University School of Medicine.
Christopher B. Wilson, MD (1975) - Chair, Dept. of Immunology,
Univ. of Washington, Seattle. Previously, Interim Director, Global
Health Discovery, Bill and Melinda Gates Foundation.
Division Chiefs
Kenneth Alexander, MD, PhD (1991) - Chief, Infectious
Diseases, Chicago
Richard G. Bachur, MD (1992) - Chief, Div. of Emergency
Medicine, Boston Children’s Hospital, Harvard
Charles Berde, MD, PhD (1983) - Chief, Division of Pain
Medicine, Boston Children’s Hospital, Harvard.
Melvin Berger, MD (1979) - Chief Emeritus, Allergy/Immunology,
Case-Western Reserve. Currently, Senior Medical Director,
Clinical Research and Development, CSL, Behring, LLC.
Judith E. Brill, MD (1980) - Chief, Pediatric Critical Care, Mattel
Children's Hospital, UCLA
Jeffrey P. Burns, MD (1991) - Chief, Critical Care Medicine,
Boston Children’s Hospital, Harvard
F. Sessions Cole, MD (1978) - Director of Pediatric Newborn
Medicine, Vice-Chair, Dept. of Pediatrics, Washington Univ.
School of Medicine, St Louis.
Lisa Guay-Woodford, MD (1986) - Director, Division of Genetic
and Translational Medicine and Vice Chair, Dept of Genetics,
University of Alabama.
Jin S. Hahn, MD (1985) - Chief Emeritus, Div. of Neurology,
Stanford
William E. Harmon, MD (1974) - Chief, Nephrology, Boston
Children’s Hospital, Harvard Medical School.
Jeffrey S. Hyams, MD (1978) - Head, Div. of Gastroenterology
and Nutrition, Connecticut Children’s Medical Center
Lawrence C. Kaplan, MD (1984) - Chief Emeritus,
Developmental Pediatrics, Wisconsin (Madison). Director
Emeritus, Div of Genetics and Child Health, Dartmouth.
Janice D. Key, MD (1983) - Director, Div. of Adolescent
Medicine, Medical Univ. of South Carolina.
Barry Kosofsky, MD, PhD (1988) - Chief, Div. of Pediatric
Neurology, Cornell.
Jonathan M. Davis, MD (1984) - Chief, Newborn Medicine,
Tufts.
Karl Kuban, MD (1978) - Chief, Pediatric Neurology, Boston
Medical Center, Boston Univ.
S. Jean Emans, MD (1973) - Chief, Adolescent Med, Children's
Hosp Boston, Harvard Medical School
Andrew L. Kung, MD, PhD (1996) - Chief, Division of
Hematology, Oncology and Bone Marrow Transplantation,
Columbia
James J. Filiano, MD (1985) - Chief, Pediatric Critical Care,
Dartmouth.
Raif S. Geha, MD (1971) - Chief, Div. of Allergy and Immunology,
Boston Children’s Hospital, Harvard Medical School.
Stephen E. Gellis, MD (1976) - Chief, Division of Pediatric
Dermatology, Boston Children’s Hospital, Harvard Medical
School.
Jeffrey S. Gerdes, MD (1980) - Chief, Section of Newborn
Pediatrics, Associate Chair, Dept of Pediatrics, Pennsylvania
Hospital.
Ira H. Gewolb, MD (1979) - Chief, Neonatology and Assoc Chair
for Research, Michigan State
Catherine M. Gordon, MD (1994) Chief, Division of
Endocrinology, Brown
Ian Gross, MD (1972) - Chief, Div. of Perinatal Medicine, Yale.
Roger L. Ladda, MD (1972) - Chief, Human Genetics, Growth &
Development, Penn State.
Edward Lawson, MD (1975) - Director, Neonatal-Perinatal
Medicine, Johns Hopkins.
Donald Y.M. Leung, MD, PhD (1980) - Head, Div. of Pediatric
Allergy and Immunology, National Jewish Medical and Research
Center, Denver,
Michael Link, MD (1977) - Chief, Pediatric Hematology/
Oncology, Stanford
Jeffrey M. Lipton, MD, PhD (1978) - Chief, HematologyOncology and Stem Cell Transplantation, Schneider Children's
Hospital, Albert Einstein.
Samuel E. Lux IV, MD (1970) - Chief Emeritus, Div. of
Hematology/Oncology and Vice-Chair for Research, Boston
Children’s Hospital, Harvard Medical School.
Page 95
William Maniscalco, MD (1975) - Chief, Div. of Neonatology,
Rochester.
Philip J. Saul, MD (1985) - Chief, Div. of Pediatric Cardiology,
Medical Univ. of South Carolina.
Peter E. Newburger, MD (1977) - Chief, Pediatric Hematology/
Oncology, Univ. of Massachusetts
Charles D. Scher, MD (1972) - Chief, Pediatric HematologyOncology, Tulane
John A. Phillips III, MD (1975) - Director, Div. of Genetics and
Genomic Medicine, Vanderbilt.
David A. Piccoli, MD (1983) - Chief, Gastroenterology,
Hepatology and Nutrition. Children’s Hospital of Philadelphia
Mark A. Schuster, MD, PhD (1991) - Chief of General
Pediatrics, Boston Children’s Hospital, Harvard Medical School.
Formerly, Chief of General Pediatrics and Vice Chair for Health
Services, Policy, and Community Research, UCLA.
David G. Poplack, MD (1972) - Chief, Pediatric Hematology/
Oncology, Baylor.
Robert D. Sege, MD, PhD (1991) - Previously, Director, Div. of
Ambulatory Pediatrics, Boston Medical Center, Boston Univ.
Leonard A. Rappaport, MD (1980) - Chief, Division of
Developmental Medicine, Boston Children’s Hospital, Harvard.
Gary A. Silverman, MD, PhD (1987) - Chief, Div. of Newborn
Medicine Program. Pittsburgh.
J. Routt Reigart II, MD (1970) - Director Emeritus, General
Pediatrics, Medical Univ. of South Carolina.
Victor C. Strasburger, MD (1978) - Chief, Div. of Adolescent
Medicine, New Mexico
Clement L. Ren, MD (1990) - Chief, Div. of Pediatric
Pulmonology/Allergy, Rochester.
Stephen J. Teach, MD (1991) - Chief, Div. of Allergy and
Immunology, Children’s National Medical Center
Mark E. Rothenberg, MD, PhD (1992) - Director, Div of Allergy/
Immunology, Cincinnati.
William R. Treem, MD (1980) - Section Chief, Pediatric
Gastroenterology, Hepatology and Nutrition, SUNY Downstate.
David H. Rowitch, MD, PhD (1992) - Chief, Div. of Neonatology.
UCSF.
Alan S. Wayne, MD (1988) - Chief, Division of Pediatric
Hematology/Oncology, Univ of Southern California. Previously,
Head, Hematologic Diseases Section, Pediatric Oncology
Branch, National Cancer Institute, NIH.
Heads of Major Clinical Programs
Lawrence C. Wolfe, MD (1979) - Chief Emeritus, Div. of
Pediatric Hematology/Oncology, Tufts. Currently at Schneider
Children’s Hospital, New Hyde Park, NY.
Ellis J. Neufeld, MD, PhD (1988) - Associate Chief,
Hematology/Oncology and Chief, Clinical Research Center,
Boston Children’s Hospital, Harvard Medical School.
Peter F. Wright, MD (1970) - Chief Emeritus, Div. of Pediatric
Infectious Diseases, Vanderbilt. Currently at DartmouthHitchcock Medical Center.
Jane Newburger, MD (1977) - Associate Chief for Academic
Affairs, Dept. of Cardiology, Boston Children’s Hospital, Harvard
Medical School
Corrie T. M. Anderson, MD (1985) - Previously Clinical Program
Director, Pain Management, Dept. of Anesthesia, Univ. of
Washington, Seattle
Hans C. Oettgen, MD, PhD (1990) - Associate Chief, Div. of
Allergy/Immunology, Boston Children’s Hospital, Harvard
Medical School.
Marc Baskin, MD (1986) - Chief, Short Stay Unit, Boston
Children’s Hospital, Harvard
Peter C. Phillips, MD (1981) - Director, Ped Neurooncology,
Children’s Hosp of Philadelphia
Leslie V. Boyer-Hassen, MD (1988) - Medical Director, Arizona
Poison Control Ctr, Medical Director, Toxicology Laboratory,
Arizona
Thomas N. Robinson, MD (1991) - Director, Ctr for Healthy
Weight, Div of General Pediatrics, Stanford
Lisa R. Diller, MD (1988) - Clinical Director of Pediatric
Oncology, Dana-Farber Cancer Institute and Boston Children’s
Hospital, Harvard Medical School
Alan M. Leichtner, MD (1980) - Associate Chief, Div. of
Gastroenterology and Nutrition. Boston Children’s Hospital,
Harvard Medical School
Edgar K. Marcuse, MD (1970) - Associate Medical Director of
Quality Improvement, Univ. of Washington, Seattle
Lynne M. Mofenson, MD (1980) - Chief, Pediatric, Adolescent
and Maternal AIDS Branch. Center for Research for Mothers and
Children, NICHD, NIH.
D. Holmes Morton, MD (1986) - Director, Clinic for Special
Children, Strasburg, PA.
Jonathan J. "Jack" Rome, MD (1986) - Director, Cardiac
Catheterization Laboratory, Associate Chief for Clinical Affairs,
Children’s Hospital of Philadelphia
Stephen J. Roth, MD (1989) - Director of Pediatric
Cardiovascular Intensive Care, Stanford
Benjamin L. Shneider, MD (1989) - Director, Hepatology Center,
Children's Hospital of Pittsburgh.
Anne M. Stack, MD (1991) - Director of Clinical Operations, Div
of Emergency Medicine, Boston Children’s Hospital, Harvard
Medical School.
Elizabeth Woods, MD (1982) - Associate Chief, Div of
Adolescent/Young Adult Medicine, Boston Children’s Hospital,
Harvard Medical School.
James Moses, MD MPH (2005) - Director of Quality and Patient
Safety, Department of Pediatrics, Boston Medical Center
Page 96
Senior Researchers and Research Administrators
Scott A. Armstrong, MD, PhD (1998) - Director, Leukemia
Center, Memorial Sloan Kettering Cancer Center
Molecular Medicine and Scientific Dir., Inst. of Genetics, Hosp
for Sick Children, Toronto.
Diana W. Bianchi, MD (1983) - Vice Chair for Research. Dept. of
Pediatrics, Tufts.
Louis J. Muglia, MD, PhD (1991) - Co-Director, Perinatal
Institute, Division of Neonatology and Director, Center for
Prevention of Preterm Birth, Cincinnati Children’s. Previously,
Vice Chair for Research Affairs in Pediatrics, Vanderbilt and
Director, Div. of Pediatric Endocrinology and Diabetes,
Washington University, St Louis.
Jan L. Breslow, MD (1971) - Head, Lab of Biochemical Genetics
and Metabolism, Rockefeller Univ. Past-President, American
Heart Association.
Todd R. Golub, MD (1992) - Director, Cancer Program, The
Broad Institute of Harvard and MIT. Professor, Pediatrics, Boston
Children’s Hospital and Dana-Farber Cancer Institute.
Investigator, Howard Hughes Medical Institute.
Jody Heymann, MD, PhD (1992) - Canada Research Chair in
Global Health and Social Policy, Dept. of Political Science and
Dept. of Epidemiology and Biostatistics, Founding Director,
Institute for Health and Social Policy, McGill University.
Stuart H. Orkin, MD (1975) - Investigator, Howard Hughes
Medical Institute, Boston Children’s Hospital. Chair, Dept. of
Pediatric Oncology, Dana-Farber Cancer Institute. Harvard
Medical School
David S. Pellman, MD (1989) - Investigator, Howard Hughes
Medical Institute. Professor, Pediatrics. Dana-Farber Cancer
Institute and Boston Children’s Hospital. Harvard Medical School
Mark A. Israel, MD (1976) - Director, Norris Cotton Cancer
Center, Dartmouth.
Edward V. Prochownik, MD, PhD (1981) - Director of Oncology
Research, Pittsburgh.
Julie R. Korenberg, MD, PhD (1982) - Director, Center for
Integrated Neurosciences and Human Behavior at the Brain
Institute, Utah. Previously, Director of Pediatric Research and
Director of Neurogenetics, Medical Genetics Inst. Vice-Chair for
Pediatrics Research, Cedars-Sinai, Los Angeles
Bonnie W. Ramsey, MD (1979) - Director, Center for Clinical and
Translational Research, Univ. of Washington.
Stephan Ladisch, MD (1976) - Previously, Director, Ctr for
Cancer and Transplantation Biology and Scientific Dir.,
Children's Research Inst., Vice-Chair, Pediatrics, George
Washington.
Roderick R. McInnes, MD, PhD (1978) - Director of Research,
Lady Davis Institute of Medical Research, Jewish General
Hospital, McGill. Previously, University Professor, Chair, Dept of
Evan Y. Snyder, MD, PhD (1983) - Program Director, Stem Cells
and Regeneration, Burnham Institute, LaJolla.
Anne E. Trontell, MD (1990) - Program Director, Center for
Education & Research on Therapeutics. Agency for Healthcare
Research and Quality, Dept. of Health and Human Services
Paul H. Wise, MD (1981) - Director, Center for Policy, Outcomes
and Prevention, Stanford.
Education Leaders
William A. "Jerry" Durbin, MD (1977) - Vice Chair and
Residency Program Director, Dept. of Pediatrics, Univ.
Massachusetts.
Frederick H. Lovejoy Jr, MD (1969) - Vice Chair for Academic
Affairs and Associate Physician-in-Chief. Previously, Residency
Program Director, Boston Children’s Hospital, Harvard Medical
School
Theodore C. Sectish, MD (1980) - Vice Chair for Education and
Pediatric Residency Program Director, Boston Children’s
Hospital, Harvard Medical School. Executive Director,
Federation of Pediatric Organizations. Previously, Residency
Program Director, Stanford. Past-President of the Association of
Pediatric Program Directors.
Emmett V. Schmidt, MD, PhD (1984) - Previously, Pediatric
Residency Program Director, MassGeneral Hospital for Children,
Harvard Medical School.
Edwin Zelneraitis, MD (1978) - Assistant Dean for Medical
Education and Residency Program Director, Connecticut
Biotech or Other Business Leaders
Spencer Borden IV, MD, MBA (1971) - Senior Managing
Scientist, Exponent Consulting and Director of Employer
Outcomes Research, Johnson & Johnson Health Care Systems,
Inc. Previously, Senior Medical Consultant of Watson Wyatt
Worldwide; Medical Director of Value Health Sciences, MediQual
Systems and of Aetna Life Insurance Company; and CEO,
Integrity Consulting. Emeritus Chair, Depts of Pediatric
Radiology, CHOP & MGH.
R. Alan B. Ezekowitz, MB ChB, DPhil (1988) - President, CoFounder and CEO, Abide Therapeutics. Previously, Senior Vice
President and Franchise Head, Immunology, Respiratory and
Endocrine, Merck Research Laboratories. Chief, Department of
Pediatrics, Massachusetts General Hospital, Harvard Medical
School.
Kenneth M. Borow, MD (1977) - President and CEO Encomium
Group, Inc. Previously, President and CEO, Covalent Group, Inc.
William H. Harris, MD, PhD (1984) - Co-Founder, President and
Chief Scientific Officer, MariCal, Inc., Portland, ME.
Michael J. Brownstein, MD, PhD (1974) - Co-Founder and
Chairman of the Board, Alluvium Biosciences. Previously, Chief
Scientific Officer, Exponential Biotherapies, Bethesda, MD.
Director of Functional Genomics, J Craig Venter Institute,
Rockville, MD, and Chief, Laboratory of Genetics, NIMH/NHGRI,
NIH.
Allen J. Hinkle, MD (1979) - Executive Vice President and
Medical Affairs Officer, MVP Health Care. Previously, Sr Vice
President and Chief Medical Officer, Tufts Health Plan and
Senior Medical Director and Vice President of Health Care
Quality, Policy and Innovations at Blue Cross Blue Shield of
Massachusetts.
Roslyn Feder, MD, PhD (1988) - Previously, Senior Vice
President for External Development at Bristol-Myers Squibb.
Page 97
David S. Hodes, MD (1972) - Previously, Medical Director,
Roche Laboratories. Chief Emeritus, Pediatric Infectious
Diseases, Mt Sinai
Anula Jayasuriya, MD, PhD, MBA (1992) - Life science private
equity and venture capital investor with ATP Capital. ASTIA Inc.
in San Francisco. Co-founder and Managing Director of the
Evolvence India Life Science Fund, based in Hyderabad.
Previously a partner with Skyline Ventures, a principal with
Techno Venture Management, and Vice President and Head of
Corporate Development for Genomics Collaborative.
Linda McKibben, MD, DrPh (1986) - Medical Officer, Food and
Drug Administration. Principal, Linda McKibben Health Policy &
Research Consulting. Previously, Vice President, The Lewin
Group (Health Care and Human Services Consulting) and Senior
Advisor on Health Services Research in the Office of the Director
of the Division of Health Quality Promotion at the CDC's
National Center for Infectious Diseases.
Mark C. Rogers, MD (1972) - Accounts Manager of AtCor
Medical Limited. Previously, CEO of Paramount Capital,
Chairman and CEO of Bradmer Pharmaceuticals; and Chairman
of Cardiome Pharma Corp; Founder, Officer or Director at Genta
Inc., Adherex Technologies Inc., PolaRx Biopharmaceuticals
Inc., and Aptamera; Sr VP and CTO, Perkin-Elmer Corp;
President, Paramount Capital; Chairman of Anesthesiology and
Critical Care, Johns Hopkins; Vice Chancellor of Health
Systems, Duke Univ. Med. Ctr and CEO Duke Hospital.
James (Jim) Woody, MD, PhD (1971) - Venture Capital Partner,
Latterell Venture Partners, Menlo Park, CA. Formerly President
of Roche Bioscience in Palo Alto, California. Previously, Chief
Scientific Officer and Senior Vice President of R&D for Centocor.
Authors
Perri Klass, MD (1989) - Professor of Pediatrics and Professor
of Journalism, New York University, and award winning author of
three novels, two other books, two short story collections and
three essay collections. Regular contributing author: New York
Times, Washington Post, Boston Globe, and many magazines.
Claire McCarthy, MD (1991) - Medical Communications
Director, Boston Children’s Hospital and Senior Medical Editor
for Harvard Health Publications. Author of two books ("How the
Heart Beats" and "Everyone's Children") and frequent
contributor to Newsweek and other magazines. Previously,
General Pediatrician Director, Martha Eliot Health Center, Boston
Children’s Hospital, Harvard.
Other Leaders
David M. Bell, MD (1980) - Sr Medical Officer, Maternal and
Child Health Branch, Division of HIV/AIDS, National Center for
Infectious Diseases, Centers for Disease Control and Prevention.
Jonathan E. Fielding, MD, MPH, MBA (1972) - Director of
Public Health and Public Health Officer, Los Angeles County,
and Professor of Public Health and Pediatrics, UCLA. Previously,
Vice President, Johnson & Johnson; and Massachusetts
Commissioner of Public Health.
Jed Gorlin, MD (1985) - Medical Director, Memorial Blood
Centers, Minneapolis.
Richard A. Insel, MD (1972) - Chief Scientific Officer, Juvenile
Diabetes Research Foundation International. Previously, Director
of the Center for Human Genetics and Molecular Pediatric
Disease, Rochester.
Isaac S. "Zak" Kohane, MD, PhD (1990) - Director, Children’s
Hospital Informatics Program; Co-director, Center for
Biomedical Informatics, Harvard Medical School; Director,
Countway Library of Medicine, Harvard Medical School.
Nabil M. Kronfol, MD (1972) - Professor, Health Services
Administration, American University of Beirut; Senior Consultant,
Health Systems and Health Manpower, President of the
Lebanese Health Care Management Association, Beirut.
Jon E. Rohde, MD (1973) - International Public Health
Consultant. Professor and Co-chair of the Board of the James P
Grant School of Public Health, BRAC University, Dhaka,
Bangladesh. Former Director of the EQUITY Project, South
Africa and Emeritus Professor, University of Cape Town, SA.
Lauren A. Smith, MD (1996) - Director Emeritus and before that
Medical Director of the Massachusetts Department of Public
Health.
David N. Sundwall, MD (1973) - Previously, Executive Director,
Utah Department of Health; Vice President and Med Director,
American Healthcare Systems; Administrator in the Health
Resources and Services Administration; and Assistant Surgeon
General, U.S. Public Health Service.
Page 98
Application Process
What Are We Looking For?
Graduates of medical schools in the United States and
other countries are eligible to apply. We seek applicants
who are intelligent, curious, creative, energetic,
personable, and accomplished. We are very interested in
having a diverse residency class and wish to attract
exceptional applicants with wide-ranging interests and
talents from all parts of the country and beyond. We are
especially interested in those who will become leaders in
one or more of the many areas of academic pediatrics:
medical care, laboratory or clinical research, teaching,
patient advocacy, public policy or global health.
PL-1 Applicants
Three Year Pediatric Residency Positions
We accept up to 31 PL-1 residents in the Categorical
Track and up to 11 residents in the Urban Health and
Advocacy Track. For PL-1 positions, the Boston
Combined Residency Program in Pediatrics (BCRP)
participates in the National Resident Matching Program
(NRMP) through the Electronic Residency Application
Service (ERAS). Applications will only be accepted
through ERAS.
Candidates may apply to either one or both tracks. Each
track has its own NRMP match number. The tracks are
listed in the NRMP Directory as follows:
Boston Combined Residency Program in Pediatrics
• Peds/Boston Children’s Hospital: #1259320C0
• Peds-Urban Health Advocacy/Boston Medical
Center: #1259320C1
Two Year Pediatric Residency Positions
• Fast-tracking: We allow residents to enter both of
the "fast-tracking" research pathways offered by the
American Board of Pediatrics.
• Combined Pediatrics-Medical Genetics: We are
happy to consider applicants who would like to
participate in a combined residency program with
Medical Genetics. We can accommodate up to two
such positions a year. The program is described in
detail at http://www.childrenshospital.org/bcrp/
Site2219/mainpageS2219P16.html. Applicants
interested in the program should contact Dr. Amy
Roberts ([email protected]). The
application is submitted as described above for PL-1
We start recruiting future interns early
applicants. Please clarify in either your personal
statement or by separate communication with Drs.
Roberts and Lux ([email protected]) that
you are interested in the combined program. Those
invited for a BCRP interview will have additional
interviews with the clinical genetics faculty. The
combined program has its own NRMP Match number
listed in the NRMP Directory as: Pediatrics/Medical
Genetics #7652444017. Applicants interested in
the combined Pediatric-Medical Genetics
program should also apply to the BCRP and make
their interest in genetics clear in their personal
statement.
• Child Neurology: We offer 2-year positions for a
subset of residents who match in the child neurology
residencies at Boston Children’s Hospital or Boston
Medical Center, but who first need to complete two
years of pediatric residency training. Applications to
the Child Neurology match are now processed
through the National Resident Matching Program
(NRMP) instead of the San Francisco Match, and will
be simultaneous with the match for general
pediatrics.
There are two types of slots open in the Child
Neurology program at Boston Children’s Hospital:
▹ “Boston Children’s Hospital offers a combined
BCRP Pediatrics-Child Neurology program (termed
the "Categorical" program) in which the match is
for 2 years of general pediatrics (beginning 2014) in
the Boston Combined Residency Program in
pediatrics at Boston Children’s Hospital and
Boston Medical Center, and three years of child
neurology at Boston Children’s Hospital (beginning
Page 99
2016). We have up to four positions in this
program. Applicants who match in this track are
guaranteed a position in the BCRP. The NRMP
Match number for the combined BCRP PediatricsBCH Child Neurology program is #1259185C0.
▹ The Children's Hospital Neurology Department
offers an additional one or more "Advanced"
positions for 3 years of child neurology, which will
begin in 2016. Applicants who match in the
advanced positions match independently in
pediatrics and are not guaranteed a position in the
BCRP residency class. The NRMP Match number
for this track is #1259185A0. The total number of
Categorical and Advanced positions is five.
Applicants may apply for both the combined
(Categorical) and Advanced tracks in child neurology.
Similarly, applicants who apply for the combined
track may also apply to the Categorical or UHAT
tracks in pediatrics, independently of child neurology
or together with an application to the Advanced track
in child neurology.
The child neurology program at Boston Medical
Center offers one Categorical and one Advanced
position. Applicants who match in the Categorical
position are guaranteed a position in the UHAT track
in the BCRP beginning in 2014 and will begin their
child neurology training in 2016. Applicants who
match in the Advanced position will begin their child
neurology training at BMC in 2016 but must match
independently in pediatrics. The NRMP Match
number for the Categorical track is 1257185C0. The
number for the Advanced track is #1257185A0.
Applicants interested in any of these Child
Neurology programs should also apply to the
BCRP and make their interest in child neurology
clear in their personal statement. Each of the
various neurology tracks can be ranked
independently in the match.
• Neurodevelopmental Disabilities: We offer up to
one 2-year position to those interested in
neurodevelopmental disabilities (NDD) training. This is
an ACGME-accredited program combining 2-years of
pediatric training with 1-year of adult neurology and
adult NDD, 18-months of clinical NDD and child
neurology, and 18-months of basic and clinical
sciences. Upon completion of the training, the
resident is board eligible for Pediatrics, Neurology,
and Neurodevelopmental Disabilities with Special
Competency in Child Neurology.
Applications to the NDD match are now processed
through the National Residency Matching Program
(NRMP) instead of the San Francisco Match, and
occur simultaneously with the match for general
pediatrics. Children’s Hospital only offers an
advanced match for NDD, for a four year position
beginning in 2016. Applicants should apply at the
same time for general pediatrics programs. However,
applicants who are highly ranked by the NDD
program at Children’s will be seriously considered for
a two year position in the BCRP, if desired.
Applicants interested in this option should contact Dr.
David Urion ([email protected]), who
leads both the NDD and Child Neurology training
programs at Boston Children’s Hospital. They should
also apply to the BCRP and make their interest in
NDD clear in their personal statement.
• Combined Pediatrics-Anesthesia: The BCRP was
one of the first residency programs to offer combined
training in Pediatrics and Anesthesia. Residents begin
their first year in pediatrics residency. The following
year is the first year of anesthesia training, followed
by three years of integrated residency training in both
pediatrics and anesthesia. The program is described
in more detail at http://www.childrenshospital.org/
bcrp/Site2219/mainpageS2219P17.html. Throughout
the three years of integrated training, while residents
are doing core training in Pediatrics or Anesthesia,
they will be expected to attend conferences and
participate in core clinical activities once a month in
the other discipline to make the combined program
fully integrated.
Individuals ideally suited for this combined training
will likely pursue careers at the interface between
critical care, pediatrics, and anesthesiology.
Examples of such careers include hospitalist
medicine, pain and palliative care, out-of-operating
room procedural and sedations services, and
members of integrated subspecialty teams in
pediatrics, critical care and anesthesiology. One of
the combined residents, Ethan Sanford, has recently
published a description of the program and the
advantages of combined training in Anesthesia and
Analgesia (http://brighamandwomens.org/
Departments_and_Services/anesthesiology/Residency/Pedanescombinedrestrainingapplicantsperspective13-14.pdf).
Applicants interested in Pediatrics-Anesthesia should
make their interest evident in their personal statement
or by separate communication with Dr. Sam Lux .
They should also notify Dr. Morana Lasic, who directs
resident selection in Anesthesiology at the Brigham
and Women's Hospital. Applicants should apply to
Pediatric Anesthesiology in ERAS (NRMP
1259726C0). They should also apply to the BCRP
and check the Pediatrics-Anesthesiology track in
the BCRP. This is very important as it makes it
much easier for us to process the application. We
will forward a copy of the application to Dr. Lasic.
Page 100
Applicants may also apply to the Categorical or
UHAT pediatrics tracks in the BCRP if they wish.
Applicants who also wish to apply to Categorical
Anesthesiology at the Brigham should submit a
separate application to that program and make their
interest in the combined program as well as the
categorical anesthesiology program clear in their
personal statement in that application.
One Year Pediatric Residency Positions
We do not usually accept applicants who wish a
preliminary residency position. Occasionally, we are able
to make an exception for very extraordinary applicants
who plan to pursue their subsequent residency in a
Harvard Dermatology, Ophthalmology, Radiology, or
Radiation Oncology program and want to practice the
pediatric aspects of those specialties. Such applicants
should apply to the Categorical Track and make their
desire clear in their application and in a separate email to
Dr. Sam Lux ([email protected]).
Deadline
All PL-1 applications should be received by October
31, 2013. While we will consider applications received
after that date, interviews are only occasionally granted to
late applicants. Because of the volume, we appreciate
receiving applications early.
Applicants should update their applications anytime they
have significant new information (e.g., election to AOA or
other honors, Step II scores, acceptance of a major paper,
etc.). To ensure the information is noted, they should also
email Dr. Sam Lux.
Applicants who accept an appointment elsewhere, or who
for any reason wish to withdraw, are requested to notify
Dr. Lux and the NRMP immediately.
Requirements
The application must include the following:
• Dean's letter (MSPE) and transcript
• Application form
• At least three letters of reference. At least one should
be from someone who worked closely with you on a
pediatrics rotation and who writes many letters for
students, such as the student clerkship director, the
director of inpatient services, a senior clinician, or
one of the residency program directors. A pro forma
“departmental letter” is not requested or desired
unless the writer(s) know the applicant well.
• Curriculum vita, including honors and publications
• USLME scores (Step I required, Steps II and III if
available)
• Personal statement. While we recognize that most
applicants use a generic personal statement for all
applications, we are much more interested in
learning about you personally, than about why you
chose pediatrics. We want to know where you grew
up and your accomplishments (things you’re proud
of), your passions, your specific research
experiences, your leadership experiences, creative or
unusual things you’ve done, and what you are
thinking of doing beyond your residency. Please
attach an addendum to your generic personal
statement discussing these things if they are not
otherwise covered.
• Good quality color photograph (ideally head and
shoulders with a plain background)
• Applicants with an MD/PhD or other comparable
extensive research experiences should also include a
letter from their research supervisor
International Applicants
We are very interested in training the very best
international medical graduates and have a long record of
doing so. All international medical graduates must apply
through ERAS.
• To be seriously considered, international medical
graduates must have an exceptional medical school
record and have received the kinds of prizes,
medals or awards that are given to the very top
students. In most cases they will also have a strong
record of accomplishment in research, or prior
residency training in pediatrics, or both.
• International applicants should be ECFMG certified
by October 31, 2013, our application deadline, and
must be ECFMG certified by the completion of
interviews on Jan 21st or they will not be considered
by the selection committee. In rare cases an
exception will be made for candidates who will
Page 101
graduate at the end of the calendar year and cannot
apply for ECFMG certification until they have
graduated. In these cases the applicant must obtain
the approval of Dr Lux and must pass all of the
ECFMG examinations by Jan 18th. This includes
USMLE Step 1, the Step 2 Clinical Knowledge test,
and the Step 2 Clinical Skills test. For all international
medical graduates, USMLE scores must be above
210 on the first attempt and ideally should be above
230.
• Applicants must demonstrate excellent spoken and
written English and the ability to work in a modern,
high complexity medical center. This is best done by
one or more rotations during medical school involving
direct patient contact on a pediatric or internal
medicine inpatient or consult service at a major
teaching hospital in the United States or other
English-speaking country. Applicants who lack such
rotations will be considered if they have an
exceptional academic record in medical school,
have trained at other outstanding medical centers,
have high USMLE scores, and have extensive
research experience.
• At least one of the letters of recommendation must be
from the physician supervising the internal medicine
or pediatric rotation described above. At least one of
the other letters of recommendation should also be
from an individual familiar with the applicant's clinical
skills. Letters from physicians at the applicant’s
medical school or other training institution(s) who
have trained in the US are especially useful. We do
not find "observerships" useful in evaluating
applicants and suggest that applicants not have
letters sent from those who observed them on such
experiences unless the applicant worked very closely
with the letter writer for a considerable period in
caring for patients.
Our two hospitals are able to sponsor both H1b and J1
visas, assuming there are no changes in US Immigration
policies. With rare exceptions we can only obtain H1b
visas for those who have successfully completed the
USMLE step III examination by December 31, 2013.
Couples Match
Applicants who are participating in the couples match and
are invited to interview should email Dr Lux the name of
the Boston-area hospital(s) to which their spouse or
significant other is interviewing.
Student Rotations
Children's Hospital
Students interested in doing rotations in pediatrics or
pediatric subspecialties at Boston Children’s Hospital
should contact the Registrar's Office at Harvard Medical
School. Students can rank up to three electives for a given
month. The Registrar gives priority to Harvard Medical
students, so outside students sometimes won’t know their
elective until a few weeks before it begins. If all their
choices are full, the Registrar will check if there are any
vacancies in the less popular electives.
Phone: (617) 432-1515
Email: [email protected]
Boston Medical Center
Students interested in doing elective rotations at Boston
Medical Center should contact the Registrar’s office at
Boston University School of Medicine. BUSM does not
accept international medical students for elective
rotations.
Phone: (617) 638-4160
Minority Recruitment
Boston Medical Center and Harvard Medical School have
well-established Minority Recruitment Programs. These
programs provide housing and financial assistance for
travel.
Observerships
Neither Children's Hospital or Boston Medical Center
encourage rotations where students function simply as
observers.
Interviews
We issue invitations for interviews when enough
information is available for us to make a decision. In most
cases this is not until after Dean's Letters arrive on
October 1st. This is almost always the case for institutions
where clerkship grades are only revealed in the Dean's
Letter. We expect that all applicants will be notified about
their interview on or before November 15th unless
applications are incomplete at that time. As noted earlier,
we review applications that are received after the October
31st deadline, but interviews are only rarely granted to
those who apply late unless there are extenuating
circumstances.
Page 102
Interview days for 2013-2014
• Monday, November 25th
• Tuesday, December 3rd
• Friday, December 6th
• Friday, December 13th
• Tuesday, December 17th
• Tuesday, January 7th
• Friday, January 10th
• Friday, January 17th
• Tuesday, January 21st
Approximately 32 candidates are invited for each interview
day.
MD/PhD Days
Candidates with MD/PhD degrees or PhD-like research
experiences who plan research careers following
residency are invited to participate in additional sessions
on one of the Thursday afternoons prior to the December
13th and January 17th interview days. These sessions
have been very popular in the past. They are designed to
acquaint applicants with the research and fellowship
opportunities in the Boston area and give them a chance
to meet several scientists in their areas of interest. The
applicants also have dinner with residents who plan to
become physician-scientists. The MD/PhD days are
entirely optional and are not part of the evaluation
process.
Minority Applicant Dinners
Under-represented minority candidates are invited for an
informal evening gathering prior to their interview to
familiarize them with special opportunities available within
the BCRP and discuss any questions they may have
about the program or the local community.
The Interview Day
Orientation for the day begins with breakfast at 7:30 AM.
Half the group starts at Children's Hospital and half at
Boston Medical Center. There is a single interview and a
tour at each hospital by one of the BCRP residents. The
interviews are low key and are meant to be an opportunity
for applicants and faculty to get to know each other. An
effort is made to choose interviewers who have something
in common with the applicants, though this is not always
possible. Applicants also attend one of the morning
rounds and participate in informal information and
question-answer sessions. They are then transported to
the other hospital, where they lunch with the residents and
repeat the itinerary. The day officially ends at 4:30 PM;
however, there is an optional Happy Hour from about 6
PM to 8 PM, hosted by the residents. This is a great
chance for those who can stay to talk with the residents
and is highly recommended. Most applicants tell us this
is one of the most important parts of the day. Some
applicants may wish to extend their visit, or come a day
early to allow more time for observation on the clinical
services or to meet individuals in their specific areas of
interest. We are happy to help make such arrangements, if
desired
Second Visits
Second visits can be arranged to attend rounds, meet
with selected faculty or residents, and explore housing or
other issues. We are happy to do this if the visit will assist
you in evaluating the BCRP. Second visits are not
expected and do not play a role in the selection process.
If you are interested in a second visit contact Elayne
Fournier ([email protected]), who will work with
the chief residents and Dr Lux to arrange it.
The Selection Process
Separate selection committees evaluate candidates for
each of the two tracks. Both committees include chief
residents, as well as junior and senior faculty who are
clinicians and researchers from a broad range of
specialties. The selection process is entirely subjective.
No formulas of boards scores, grades, or other criteria are
used, either for selecting applicants for interviews or in
preparing the rank order list. Similarly no attention is paid
to the likelihood that a candidate will or will not rank the
BCRP favorably. The committees are looking for
candidates who are perceived to have a strong likelihood
of success in an academic career involving advocacy,
community service, public policy or international health
(Urban Health and Advocacy Track) or success in an
academic career focusing on clinical care and/or research
in traditional subspecialty pediatrics, including all aspects
of general pediatrics (Categorical Track). There is
considerable overlap in these two missions. Most
applicants are suitable for both tracks and many
candidates are highly ranked on both rank order lists. For
this reason, and because the tracks are very similar from a
resident's point of view, most applicants should apply to
both tracks.
PL-2 and PL-3 Applicants
Applications for PL-2 or PL-3 positions for 2014 will be
accepted if positions are available. There are usually
several open positions in each year. Interested applicants
should mail their CV and Personal Statement to Theodore
Sectish, MD (Department of Medicine, Boston Children’s
Hospital, 300 Longwood Ave, Boston, MA 02115;
[email protected]) as early as
possible, as decisions about these positions are made
Page 103
between October and February. Competitive applicants
will be asked to come to Boston for a day of interviews.
Med-Peds Applicants
The Harvard BWH/BCH Medicine-Pediatrics Residency is
located at the Brigham and Women's Hospital and Boston
Children’s Hospital. Interviews occur in December and
January and are independent of pediatric and internal
medicine interviews at the two hospitals. For more information about the program and how to submit an application please visit: http://www.brighamandwomens.org/
Departments_and_Services/medicine/
medical_professionals/residency/MedPeds/default.aspx?
sub=1
• Harvard Medical School & Longwood Medical Area
http://hms.harvard.edu/sites/default/files/assets/Sites/
Parking/files/HvdCampusMap.pdf
http://www.brighamandwomens.org/about_bwh/
locations/directions/map2.aspx
• Boston Medical Center
http://www.bmc.org/patients/map.htm
Children’s Hospital also had a new downloadable iPhone/
Android app for families called MyWay Mobile App (http://
childrenshospital.org/patientsfamilies/Site1393/
mainpageS1393P474.html) that contains useful
information about how to get around the hospital and
local places to stay, among other things.
Where To Stay
• Hotels near Children's Hospital
http://www.childrenshospital.org/patientsfamilies/
Site1393/Documents/Hotels.pdf. The Inn at Longwood
(342 Longwood Ave, Boston) and The Courtyard (40
Webster St, Brookline) offer hospital-discounted rates.
• Inns and Bed & Breakfasts near Children's Hospital
http://www.childrenshospital.org/patientsfamilies/
Site1393/Documents/Inns.pdf
MBTA Green Line subway car
How To Get Here
Transportation
Boston Children’s Hospital and Boston Medical Center are
accessible by car, bus or subway. For those who wish to
take public transportation (the MBTA or just "The T"), the
Blue line stops at the airport (shuttle buses run from each
terminal to the T stop). The MBTA trip-planning site
(http://www.mbta.com/rider_tools/trip_planner/) is
particularly useful in choosing which subway trains and/or
buses to take. Just enter "Logan Airport" and "Children's
Hospital" or "Boston Medical Center" in the boxes where
addresses are requested. For those who drive, parking
garages are available at each institution.
Maps
• Children's Hospital Directions
http://www.childrenshospital.org/patientsfamilies/
Site1393/Documents/CHB_Directions0406.pdf
• Children's Hospital Buildings
http://www.childrenshospital.org/patientsfamilies/
Site1393/Documents/CHB_LongwoodCampus_map.pdf
• Hotels near Boston Medical Center
http://hamptoninn.hilton.com/en/hp/hotels/
maps_directions.jhtml?ctyhocn=BOSHSHX
Many applicants also stay in the homes of friends. In
addition, the residents offer a hosting service where they
invite applicants to stay in their homes. They will contact
applicants directly about this after interview invitations are
extended.
Contacts
Boston Combined Residency Program in Pediatrics
Email: [email protected]
Elayne Fournier
Boston Children’s Hospital
Tel: (617) 355-8241
Fax: (617) 730-0469
E-mail: [email protected]
Samuel E. Lux, M.D.
Boston Children’s Hospital
Tel: (617) 919-2093
E-mail: [email protected]
Colin M. Sox, M.D.
Boston Medical Center
Tel: (617) 414-3829
E-mail: [email protected]
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